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Virginia rates for HCPCS A4387

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

Facilitymedian $3 · 10th–90th $1–$60%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K

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
$1.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $3.47
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.24 / $4.47
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.51 / $3.72
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.95 / $2.09
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.09 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.09 / $4,073.80
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
$1.48 / $1.62 / $3.98