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Virginia rates for HCPCS A4390

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

Facilitymedian $10 · 10th–90th $8–$220%20%10th90th$10Professionalmedian $8 · 10th–90th $6–$120%20%10th90th$8$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$7.94 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $14.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.80 / $19.05
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $14.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.77 / $16.22
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.32 / $8.91
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $12.02 / $46.77
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.75 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.25 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.76 / $10.72