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California rates for HCPCS A4381

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

Facilitymedian $3 · 10th–90th $2$90%20%10th90th$3Professionalmedian $4 · 10th–90th $2$250%10%20%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $1.00 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $3.98 / $24.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.09 / $7.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $9.33
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $9.12 / $13.49
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $12.02 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $3.89 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.07
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.24 / $8.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.89 / $10.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $6.17 / $8.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $6.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $2.51 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.88 / $6.92