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Kentucky rates for HCPCS A4417

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

Facilitymedian $3 · 10th–90th $2–$80%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$0.1$0.2$1.0$5.0$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
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $7.08 / $9.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.46 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.72 / $25.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.04 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.45 / $3.24