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Virginia rates for HCPCS A4391

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

Facilitymedian $8 · 10th–90th $6–$160%10%20%10th90th$8Professionalmedian $6 · 10th–90th $4–$90%20%10th90th$6$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $10.23
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.92
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 / $5.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.00 / $14.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.08 / $10.72
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $7.08 / $12.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.17 / $6.61
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.91 / $34.67
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.91 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.80 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.90 / $7.76