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Florida rates for HCPCS A4426

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

Facilitymedian $2 · 10th–90th $2–$30%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$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
$1.74 / $2.00 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.39 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.29
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $2.34 / $3.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.62 / $6.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.62 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.86 / $2.29
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $3.89