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Kansas rates for HCPCS A4377

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

Facilitymedian $6 · 10th–90th $2–$100%10%10th90th$6Professionalmedian $7 · 10th–90th $3–$80%50%10th90th$7$1.0$2.0$5.0$10.0$20.0$50.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $10.00 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $7.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $4.27 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $3.02 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.69 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $4.27