go back

Idaho rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Facilitymedian $2 · 10th–90th $1$30%20%10th90th$2Professionalmedian $1 · 10th–90th $1$30%20%40%10th90th$1$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 / $1.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.29 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.69 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $2.34 / $3.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $2.34 / $2.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.78 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.57
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.45 / $2.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.93 / $1.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.02 / $1.38