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California rates for HCPCS A4422

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

Facilitymedian $0 · 10th–90th $0–$00%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%20%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.08 / $0.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.21
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $0.24 / $0.36
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.28 / $0.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.17 / $0.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.14 / $0.26
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $3.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $32.36 / $33.11
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.15 / $0.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.28 / $0.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.06 / $0.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.08 / $0.16