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Indiana rates for HCPCS A4377

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

Facilitymedian $5 · 10th–90th $2–$60%20%10th90th$5Professionalmedian $3 · 10th–90th $2–$50%20%40%10th90th$3$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
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $6.17
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $7.76 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.34 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.88 / $4.27