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California rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Facilitymedian $32 · 10th–90th $25$910%20%40%10th90th$32Professionalmedian $42 · 10th–90th $23$2570%10%20%10th90th$42$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $42.66 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $31.62 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $93.33
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $91.20 / $141.25
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $120.23 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $39.81 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $43.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $74.13 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $61.66 / $112.20
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $501.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $63.10 / $89.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $64.57
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $25.70 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $72.44