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Kentucky rates for HCPCS A4416

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

Facilitymedian $2 · 10th–90th $1$60%20%10th90th$2Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$0.1$0.2$1.0$5.0

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 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.04
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.25 / $6.76
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.79 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $6.17 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $18.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.88 / $5.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.51 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.82 / $2.40