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Kentucky rates for HCPCS A4387

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

Facilitymedian $2 · 10th–90th $1–$50%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$0.1$0.2$1.0$5.0

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 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $4.17 / $6.76
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $4.27 / $5.50
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.89 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $3.09 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.63 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.45 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $2.00 / $3.39