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Washington, DC rates for HCPCS A4427

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

Facilitymedian $2 · 10th–90th $2–$20%50%$2Professionalmedian $2 · 10th–90th $1–$30%50%10th90th$2$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. 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
$1.00 / $2.00 / $3.02
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.39 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.95 / $3.55