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California rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $5 · 10th–90th $4$160%20%10th90th$5Professionalmedian $7 · 10th–90th $4$440%10%20%10th90th$7$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
$3.02 / $3.02 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.08 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.50 / $13.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.03 / $16.22
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $23.99
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $20.89 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $7.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.02 / $15.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.47 / $20.89
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
$57.54 / $85.11 / $85.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
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
$3.39 / $10.72 / $15.14
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $11.22
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $4.37 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.13 / $12.30