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Washington rates for HCPCS A4413

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

Facilitymedian $8 · 10th–90th $5$150%20%10th90th$8Professionalmedian $5 · 10th–90th $3$110%10%20%10th90th$5$0.1$0.5$2.0$10.0$50.0

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
$3.98 / $3.98 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $10.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.90 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.90
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $9.12 / $16.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $9.77 / $16.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.46 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $7.76
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.76 / $10.00
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.76 / $12.59
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.61 / $8.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.47 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.47 / $6.17
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.61 / $11.75