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Idaho rates for HCPCS A4425

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

Facilitymedian $5 · 10th–90th $2–$80%10%20%10th90th$5Professionalmedian $3 · 10th–90th $1–$60%10%10th90th$3$1.0$2.0$5.0$10.0$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
$8.51 / $8.51 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.68 / $8.32
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.62 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $3.55
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $4.79 / $6.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.79 / $5.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.37
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.95 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.14 / $2.88