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Virginia rates for HCPCS A4428

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

Facilitymedian $7 · 10th–90th $5–$140%20%10th90th$7Professionalmedian $5 · 10th–90th $4–$80%20%10th90th$5$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$5.01 / $6.03 / $6.03
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 / $9.55
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.31
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 / $5.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.33 / $12.88
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.46 / $9.77
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.61 / $10.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.62 / $6.03
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $26.92
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.55 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.57 / $7.24