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Virginia rates for HCPCS A4383

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

Facilitymedian $30 · 10th–90th $23–$620%20%10th90th$30Professionalmedian $24 · 10th–90th $17–$370%20%10th90th$24$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$23.99 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $23.99 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $40.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $22.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $56.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $42.66
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $28.84 / $47.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $24.55 / $26.30
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $114.82
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $15.14 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.50 / $30.90