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Idaho rates for HCPCS A4391

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

Facilitymedian $9 · 10th–90th $4–$140%10%10th90th$9Professionalmedian $7 · 10th–90th $4–$110%10%10th90th$7$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
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $6.03 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $9.33 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.96 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.92
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $9.33 / $13.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.55 / $10.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.47
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.00 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.80 / $5.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.17 / $5.62