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California rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Facilitymedian $5 · 10th–90th $4$140%20%10th90th$5Professionalmedian $6 · 10th–90th $3$380%20%10th90th$6$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$2.00 / $2.00 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $4.68 / $11.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.25 / $14.13
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.80 / $20.89
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $18.20 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.61
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.47 / $13.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.12 / $18.20
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $74.13 / $74.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $9.33 / $13.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.75 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $3.80 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.47 / $10.72