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Indiana rates for HCPCS A4391

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

Facilitymedian $8 · 10th–90th $4$100%20%10th90th$8Professionalmedian $6 · 10th–90th $4$80%10%20%10th90th$6$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
$8.51 / $8.51 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.25 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.88 / $14.79
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 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.80 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.68 / $7.08