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Washington, DC rates for HCPCS A4390

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

Facilitymedian $9 · 10th–90th $9$90%50%$9Professionalmedian $8 · 10th–90th $5$110%10%20%10th90th$8$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.94
Typical High
$10.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$8.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.76
Typical High
$12.30