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Indiana rates for HCPCS A4393

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

Facilitymedian $10 · 10th–90th $5–$120%20%10th90th$10Professionalmedian $7 · 10th–90th $5–$110%10%10th90th$7$5.0$10.0$20.0$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
$10.72 / $10.72 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $12.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.76 / $12.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $16.60 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.90 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $6.03 / $9.12