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Kentucky rates for HCPCS A4377

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

Facilitymedian $3 · 10th–90th $2–$100%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$50%50%10th90th$3$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.24
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $8.13 / $10.47
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.41 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.27 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.47 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.34 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.88 / $3.72