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Idaho rates for HCPCS A4387

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

Facilitymedian $3 · 10th–90th $2–$50%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$2.0$5.0$10.0$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.02 / $6.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $2.24
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.02 / $4.47
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $3.39
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.24 / $3.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.23 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.32 / $2.95