go back

Kansas rates for HCPCS A4391

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

Facilitymedian $9 · 10th–90th $3$110%20%10th90th$9Professionalmedian $9 · 10th–90th $4$90%20%40%10th90th$9$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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.51 / $9.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $11.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $7.08 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.90 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.47 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.47 / $7.08