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Washington rates for HCPCS A4385

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

Facilitymedian $7 · 10th–90th $4$130%20%10th90th$7Professionalmedian $5 · 10th–90th $3$100%10%20%10th90th$5$0.1$0.5$2.0$10.0$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
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.98 / $6.92
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $7.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.17 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $8.32 / $14.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $9.33 / $14.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.50 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.92 / $7.08
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.08 / $8.91
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $6.17 / $11.48
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.17 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.24 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.16 / $5.75
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.17 / $10.96