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California rates for HCPCS A4423

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

Facilitymedian $1 · 10th–90th $1$40%20%10th90th$1Professionalmedian $1 · 10th–90th $1$100%20%40%10th90th$1$0.0$0.2$2.0$20.0$200.0

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
$11.22 / $11.22 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.23 / $3.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.38 / $3.63
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.55 / $5.50
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $4.79 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.75 / $3.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.40 / $4.37
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
$13.18 / $19.50 / $19.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
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
$0.76 / $2.45 / $3.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $2.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.09 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $1.00 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.17 / $2.82