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California rates for HCPCS A4430

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

Facilitymedian $6 · 10th–90th $4$160%20%10th90th$6Professionalmedian $7 · 10th–90th $4$460%10%20%10th90th$7$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$3.02 / $3.02 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.08 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.62 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.31 / $16.98
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $16.60 / $25.12
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $21.88 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.59 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.96 / $19.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $89.13 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $11.22 / $16.22
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $11.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.13 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $4.57 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.37 / $12.88