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Maryland rates for HCPCS A4423

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

Facilitymedian $1 · 10th–90th $1–$20%10%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%90th$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.63 / $3.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.00 / $1.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.29 / $2.04
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.24