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Indiana rates for HCPCS A4425

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

Facilitymedian $4 · 10th–90th $2–$60%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$40%10%20%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
$4.27 / $4.27 / $4.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $4.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $5.01 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.63 / $5.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $7.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $5.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.95 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.40 / $3.55