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California rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Facilitymedian $2 · 10th–90th $1$50%20%10th90th$2Professionalmedian $2 · 10th–90th $1$150%20%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $1.00 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $14.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.82 / $4.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.04 / $5.50
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.37 / $8.13
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $7.08 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.07 / $5.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.55 / $6.46
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.84 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $3.63 / $5.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $3.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.57 / $7.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $1.48 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.74 / $4.17