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Virginia rates for HCPCS A4423

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

Facilitymedian $2 · 10th–90th $1–$40%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.69
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 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.63 / $3.72
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.86 / $2.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.86 / $3.24
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.62 / $1.74
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.34 / $8.91
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.34 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.00 / $1.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.29 / $2.04