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Kansas rates for HCPCS A4389

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

Facilitymedian $7 · 10th–90th $2–$100%20%10th90th$7Professionalmedian $8 · 10th–90th $4–$80%20%40%10th90th$8$2.0$5.0$10.0$20.0$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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.59 / $8.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $10.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $6.17 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $4.37 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.89 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.98 / $6.17