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Washington rates for HCPCS A4419

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

Facilitymedian $2 · 10th–90th $1$40%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1$40%20%40%10th90th$1$0.0$0.1$0.5$2.0$10.0$50.0

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
$1.00 / $1.00 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.55 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.55
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.95 / $4.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $3.09 / $5.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.86 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.34 / $2.40
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.40 / $2.40
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.09 / $3.89
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.09 / $2.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1.02 / $1.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.02 / $1.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.09 / $3.72