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California rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Facilitymedian $3 · 10th–90th $3$90%20%40%10th90th$3Professionalmedian $4 · 10th–90th $2$260%10%20%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $1.00 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.16 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.55 / $9.33
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $9.33 / $14.13
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.30 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $4.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.08 / $9.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.17 / $11.22
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
$33.88 / $50.12 / $50.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
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
$1.95 / $6.31 / $8.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $6.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.94 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $2.57 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.02 / $7.24