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Nationwide rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Facilitymedian $3 · 10th–90th $2$110%20%10th90th$3Professionalmedian $3 · 10th–90th $2$50%20%40%10th90th$3$0.1$1.0$20.0$500.0$10.0K$200.0K

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
$2.00 / $3.02 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.45 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.75 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.47 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $7.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.04 / $3.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.57 / $4.57