go back

Idaho rates for HCPCS A4377

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

Facilitymedian $5 · 10th–90th $2–$90%20%10th90th$5Professionalmedian $4 · 10th–90th $2–$70%10%20%10th90th$4$1.0$2.0$5.0$10.0$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.62 / $9.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $4.27
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $5.62 / $8.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.75 / $6.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $6.46
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.17 / $6.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.34 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.51 / $3.47