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Washington 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 $12 · 10th–90th $7$230%20%10th90th$12Professionalmedian $8 · 10th–90th $5$170%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
$6.03 / $6.03 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.76 / $15.85
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.59 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.59
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $13.80 / $24.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $15.14 / $24.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $11.75 / $12.02
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $12.02
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $10.47 / $19.05
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $11.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $10.23 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $5.01 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.01 / $9.55
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.23 / $18.20