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Virginia rates for HCPCS A4377

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

Facilitymedian $5 · 10th–90th $3–$100%20%10th90th$5Professionalmedian $3 · 10th–90th $2–$50%20%40%10th90th$3$0.1$0.5$5.0$50.0$500.0$5.0K

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 / $3.98 / $3.98
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 / $6.31
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.17 / $8.51
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.27 / $6.46
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.37 / $7.41
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.72 / $3.98
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.37 / $20.89
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.37 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.34 / $3.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.02 / $4.79