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Kentucky rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $10 · 10th–90th $6–$190%10%20%10th90th$10Professionalmedian $7 · 10th–90th $5–$100%20%10th90th$7$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
$6.03 / $10.47 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.61
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $16.60 / $20.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.14 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.13 / $58.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.12 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $4.79 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.75 / $7.59