go back

Idaho rates for HCPCS A4416

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

Facilitymedian $4 · 10th–90th $2–$60%20%10th90th$4Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$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
$1.00 / $2.00 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.63 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.37 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $3.72 / $5.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.72 / $4.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $4.17
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.89 / $3.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.51 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.62 / $2.19