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Kentucky rates for HCPCS A4413

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

Facilitymedian $4 · 10th–90th $3$120%20%10th90th$4Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$0.1$0.5$2.0$10.0

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
$3.02 / $3.02 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.17
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $10.47 / $13.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.55 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.75 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.61 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.72 / $4.79