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Idaho rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $7 · 10th–90th $3–$110%20%10th90th$7Professionalmedian $5 · 10th–90th $2–$90%10%10th90th$5$2.0$5.0$10.0$20.0

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
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $7.24 / $12.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $5.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $7.41 / $10.47
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.41 / $8.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $8.32
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $7.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.02 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.24 / $4.37