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Florida rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $5 · 10th–90th $4–$60%20%40%10th90th$5Professionalmedian $5 · 10th–90th $3–$70%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
$3.80 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $7.08
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.92 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.01
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.37 / $7.76
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $5.13 / $8.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $4.07 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.55 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.07 / $5.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $8.51