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Idaho rates for HCPCS A4392

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

Facilitymedian $11 · 10th–90th $4–$160%20%10th90th$11Professionalmedian $8 · 10th–90th $4–$130%10%10th90th$8$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
$3.02 / $7.08 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $10.72 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $8.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $10.96 / $15.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $12.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $12.30
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.47 / $6.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.79 / $6.61