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Florida rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $5 · 10th–90th $4–$70%20%10th90th$5Professionalmedian $6 · 10th–90th $4–$70%10%20%10th90th$6$0.1$0.5$2.0$10.0$50.0

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
$4.07 / $6.03 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.08
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.59 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $5.50
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $5.62 / $9.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.47 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.89 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.47 / $5.50
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $9.33