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Idaho 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 $8 · 10th–90th $3–$130%20%10th90th$8Professionalmedian $6 · 10th–90th $3–$90%10%10th90th$6$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 / $5.01 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $9.33 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.89
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $8.13 / $11.48
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.13 / $8.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $8.91
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.51 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.24 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.55 / $4.79