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Idaho rates for HCPCS A4381

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

Facilitymedian $6 · 10th–90th $3–$100%10%20%10th90th$6Professionalmedian $4 · 10th–90th $3–$70%10%10th90th$4$1.0$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.98 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $6.17 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.24 / $7.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.57
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $6.03 / $8.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.31 / $6.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $6.92
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.61 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.51 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.75 / $3.72