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Washington 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 $5$160%20%10th90th$8Professionalmedian $6 · 10th–90th $3$120%10%10th90th$6$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 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $4.68 / $10.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $17.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $10.72 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.46 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.13 / $8.32
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.32 / $8.32
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.41 / $13.49
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.24 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.80 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.72 / $6.76
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $7.24 / $12.88