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Washington rates for HCPCS A4427

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

Facilitymedian $4 · 10th–90th $2$70%20%40%10th90th$4Professionalmedian $2 · 10th–90th $1$50%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
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$5.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.00
Typical High
$5.01
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$4.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.51
Typical High
$2.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.51
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$4.37
Typical High
$7.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$4.68
Typical High
$7.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.95
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.80
Typical High
$3.89
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.47
Typical High
$3.89
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.39
Typical High
$6.31
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.39
Typical High
$4.37
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.74
Typical High
$2.51
United
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.66
Typical High
$3.16
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$3.39
Typical High
$6.03