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Kentucky 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 $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 / $2.00 / $2.00
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
$4.47 / $4.79 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.69
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.76 / $8.32
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.55 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.72 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $1.95 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.40 / $3.09