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Kansas 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 $3–$120%20%10th90th$9Professionalmedian $9 · 10th–90th $4–$110%20%40%10th90th$9$2.0$5.0$10.0$20.0$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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $8.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $10.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $6.46 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $4.47 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $4.07 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.07 / $6.46