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Missouri 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 $6 · 10th–90th $3–$170%10%20%10th90th$6Professionalmedian $5 · 10th–90th $3–$80%20%10th90th$5$1.0$2.0$5.0$10.0$20.0$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
$3.02 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $8.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.47 / $7.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $8.51
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 / $5.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $7.08 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.17 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.24 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.98 / $6.31