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Florida rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $2 · 10th–90th $1–$20%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$0.1$0.2$1.0$5.0$20.0

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
$1.00 / $2.00 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.29
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.91
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.82 / $3.98
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $3.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.31 / $5.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $2.00 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.58 / $2.75
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.31 / $3.31