go back

Delaware rates for HCPCS A4425

Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (two-piece system), each

Facilitymedian $3 · 10th–90th $2–$30%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$100%20%10th90th$3$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
$2.00 / $3.02 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $3.16
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.29 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.63 / $3.80