go back

Indiana rates for HCPCS A4419

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

Facilitymedian $2 · 10th–90th $1$20%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$2.0$5.0$10.0

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
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $2.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.29 / $2.45
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.16 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.45 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $2.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.93 / $1.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.15 / $1.74