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Virginia 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%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%20%40%10th90th$0$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.16
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.12 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.15 / $0.21
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.12 / $0.18
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.12 / $0.21
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.10 / $0.11
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.14 / $0.55
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.14 / $0.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.06 / $0.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.08 / $0.13