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Florida rates for HCPCS A4389

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

Facilitymedian $5 · 10th–90th $4–$60%20%10th90th$5Professionalmedian $5 · 10th–90th $3–$70%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
$3.89 / $6.03 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.24 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $5.25
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $4.17 / $6.03
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.25 / $8.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.13 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.72 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.27 / $5.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $8.91