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Florida rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Facilitymedian $4 · 10th–90th $3–$40%20%40%10th90th$4Professionalmedian $4 · 10th–90th $2–$50%20%10th90th$4$0.1$0.2$1.0$5.0$20.0

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
$2.69 / $3.98 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $5.01
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.75 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.63
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.82 / $3.98
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.63 / $6.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.55 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.51 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.95 / $3.63
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $6.17