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Kentucky rates for HCPCS A4380

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

Facilitymedian $30 · 10th–90th $18–$830%10%20%10th90th$30Professionalmedian $28 · 10th–90th $23–$440%20%10th90th$28$0.5$2.0$10.0$50.0$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
$25.70 / $25.70 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $28.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $70.79 / $91.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $64.57 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $251.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $32.36