go back

Missouri rates for HCPCS A4376

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

Facilitymedian $51 · 10th–90th $28–$1350%10%20%10th90th$51Professionalmedian $40 · 10th–90th $28–$660%10%20%10th90th$40$5.0$10.0$20.0$50.0$100.0$200.0

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
$28.18 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $42.66 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $35.48 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $57.54 / $309.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $25.70 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $31.62 / $50.12