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California rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $3 · 10th–90th $3$100%20%10th90th$3Professionalmedian $4 · 10th–90th $2$270%10%10th90th$4$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$1.00 / $2.00 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.08 / $7.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.39 / $8.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.80 / $10.00
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $10.00 / $15.14
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $13.18 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.27 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.57
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.41 / $9.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.46 / $12.02
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
$36.31 / $53.70 / $53.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
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
$2.09 / $6.76 / $9.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.92
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.51 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $2.75 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.24 / $7.76