go back

Virginia rates for HCPCS A4417

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

Facilitymedian $4 · 10th–90th $3–$80%10%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$50%20%40%10th90th$3$0.1$0.5$5.0$50.0$500.0$5.0K

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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $5.37
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 / $3.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.37 / $7.41
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.72 / $5.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $3.80 / $6.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.24 / $3.47
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.68 / $17.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.68 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.04 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.57 / $4.07