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Virginia rates for HCPCS A4413

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

Facilitymedian $6 · 10th–90th $4–$130%20%10th90th$6Professionalmedian $4 · 10th–90th $3–$70%20%10th90th$4$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$3.98 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $7.94
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.76 / $10.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.50 / $8.32
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $5.62 / $9.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.79 / $5.13
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $6.92 / $26.92
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.08 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.02 / $3.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.80 / $6.03