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California rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $2 · 10th–90th $1$50%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1$140%20%10th90th$2$0.0$0.2$2.0$20.0$200.0

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
$1.00 / $1.00 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $14.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.82 / $4.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.00 / $7.08
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.25 / $7.94
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $7.08 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.98 / $5.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.47 / $6.31
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $28.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $3.80 / $5.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $3.72
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.47 / $7.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $1.45 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.70 / $4.07