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Missouri rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Facilitymedian $16 · 10th–90th $8–$430%10%20%10th90th$16Professionalmedian $12 · 10th–90th $9–$200%10%20%10th90th$12$2.0$5.0$10.0$20.0$50.0$100.0

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
$7.94 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.96 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $11.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $18.20 / $97.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.47 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.13 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.00 / $15.85