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Washington rates for HCPCS A4424

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

Facilitymedian $7 · 10th–90th $4$130%20%10th90th$7Professionalmedian $4 · 10th–90th $2$100%10%10th90th$4$0.1$0.5$2.0$10.0$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
$3.02 / $3.02 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $8.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $4.27
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $7.76 / $14.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $8.71 / $14.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.13 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.46 / $6.61
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.61 / $7.94
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $10.72
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $6.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.75 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.82 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.82 / $5.37
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.75 / $10.23