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Kansas rates for HCPCS A4423

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

Facilitymedian $3 · 10th–90th $1–$30%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.09 / $3.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $3.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.86 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $1.29 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.15 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.17 / $1.86