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Kentucky rates for HCPCS A4431

Ostomy pouch, urinary; with 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
$4.37 / $4.37 / $4.68
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $11.75 / $15.14
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.96 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.17 / $41.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.46 / $12.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.39 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.07 / $5.37