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Maryland rates for HCPCS A4417

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

Facilitymedian $2 · 10th–90th $2–$40%10%20%10th90th$2Professionalmedian $3 · 10th–90th $2–$40%20%40%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.37 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.04 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.57 / $4.07
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $4.47