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Indiana rates for HCPCS A4423

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

Facilitymedian $2 · 10th–90th $1–$30%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$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
$2.24 / $2.24 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.35 / $2.57
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.39 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.55 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $2.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.00 / $1.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $1.23 / $1.86