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Indiana rates for HCPCS A4389

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

Facilitymedian $7 · 10th–90th $3–$80%20%10th90th$7Professionalmedian $5 · 10th–90th $3–$70%10%20%10th90th$5$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
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $8.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.57 / $8.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $11.22 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $5.25 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.39 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $4.17 / $6.17