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Kentucky rates for HCPCS A4381

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

Facilitymedian $3 · 10th–90th $2–$100%20%10th90th$3Professionalmedian $3 · 10th–90th $3–$50%20%10th90th$3$0.1$0.2$1.0$5.0$20.0

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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.47
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.71 / $11.22
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $10.47 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.57 / $30.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.79 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.51 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.09 / $4.07