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Virginia rates for HCPCS A4385

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

Facilitymedian $6 · 10th–90th $4–$180%20%10th90th$6Professionalmedian $4 · 10th–90th $3–$60%20%10th90th$4$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$3.98 / $3.98 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $7.41
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.01
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 / $4.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.24 / $10.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.13 / $7.59
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $5.13 / $8.71
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.37 / $4.79
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.46 / $25.12
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.31 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.75 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.55 / $5.62