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Florida 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–$50%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$0.1$0.2$1.0$5.0$20.0

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
$2.00 / $3.63 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.57 / $3.55
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $4.17 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $3.02
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.09 / $5.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.45 / $7.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.09 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.45 / $3.02
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $5.13