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Kentucky rates for HCPCS A4392

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

Facilitymedian $6 · 10th–90th $4–$180%20%10th90th$6Professionalmedian $6 · 10th–90th $5–$90%20%40%10th90th$6$0.1$0.5$2.0$10.0$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
$5.01 / $5.01 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $6.17
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $15.49 / $19.95
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $14.13 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.13 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.47 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.50 / $7.08