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Virginia rates for HCPCS A4412

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

Facilitymedian $3 · 10th–90th $2–$60%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$0.0$0.2$2.0$20.0$200.0$2.0K

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $3.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.63
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 / $2.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.89 / $5.37
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.57 / $2.57
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.75 / $4.57
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.34 / $2.51
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.47 / $13.18
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.47 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.48 / $1.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.86 / $3.02