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Virginia rates for HCPCS A4393

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

Facilitymedian $10 · 10th–90th $7–$210%20%10th90th$10Professionalmedian $7 · 10th–90th $5–$110%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 / $7.94 / $7.94
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
$6.31 / $6.31 / $13.18
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.88 / $18.20
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $9.12 / $13.49
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $9.12 / $15.49
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.76 / $8.32
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $11.22 / $44.67
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.90 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.31 / $10.00