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Florida 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 $7 · 10th–90th $5–$90%20%40%10th90th$7Professionalmedian $8 · 10th–90th $5–$100%10%10th90th$8$0.1$0.5$2.0$10.0$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
$5.37 / $7.94 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.00 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.08
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $7.24 / $12.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.89 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.01 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.75 / $7.24
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $12.02