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Missouri rates for HCPCS A4378

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

Facilitymedian $32 · 10th–90th $17–$870%10%20%10th90th$32Professionalmedian $26 · 10th–90th $18–$430%10%20%10th90th$26$5.0$10.0$20.0$50.0$100.0$200.0

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
$18.20 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.92 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $22.39 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $25.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $37.15 / $199.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.38 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $16.60 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $20.42 / $32.36