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Idaho rates for HCPCS A4385

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

Facilitymedian $6 · 10th–90th $3–$120%10%10th90th$6Professionalmedian $5 · 10th–90th $2–$80%10%10th90th$5$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
$2.00 / $3.98 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $6.76 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $5.01
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $6.61 / $9.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.92 / $7.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $7.59
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.75 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.02 / $4.07