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Kentucky 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 $3–$140%20%10th90th$5Professionalmedian $5 · 10th–90th $4–$70%20%10th90th$5$0.1$0.5$2.0$10.0

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
$3.98 / $3.98 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.90
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $12.30 / $15.85
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.48 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.46 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.76 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.55 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $4.37 / $5.62