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Virginia rates for HCPCS A4427

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

Facilitymedian $3 · 10th–90th $2–$60%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K

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
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.07
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 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.75 / $4.17
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.82 / $4.79
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.40 / $2.57
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.47 / $13.49
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.47 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.51 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.95 / $3.09