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Virginia rates for HCPCS A4392

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

Facilitymedian $9 · 10th–90th $7–$190%20%10th90th$9Professionalmedian $7 · 10th–90th $5–$100%20%10th90th$7$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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $12.02
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $16.22
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.13 / $12.30
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.32 / $13.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.08 / $7.59
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $39.81
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.47 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $9.12