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Idaho rates for HCPCS A4428

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

Facilitymedian $9 · 10th–90th $4–$130%20%10th90th$9Professionalmedian $6 · 10th–90th $4–$100%10%10th90th$6$2.0$5.0$10.0$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
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $8.51 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $10.23 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $6.46
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $8.91 / $12.30
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $9.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $9.77
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.33 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.55 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.89 / $5.25