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Idaho rates for HCPCS A4417

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

Facilitymedian $5 · 10th–90th $2–$70%20%10th90th$5Professionalmedian $3 · 10th–90th $2–$60%10%20%10th90th$3$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 / $3.02 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.90 / $8.32
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $3.72
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $5.01 / $7.08
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $5.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $5.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.37 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.04 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.19 / $2.95