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Kentucky 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 $4 · 10th–90th $3–$130%20%10th90th$4Professionalmedian $4 · 10th–90th $3–$70%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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.47
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $11.22 / $14.79
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.47 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.89 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.61 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.24 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.07 / $5.25