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Maryland rates for HCPCS A4431

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

Facilitymedian $3 · 10th–90th $3–$60%10%20%10th90th$3Professionalmedian $5 · 10th–90th $3–$80%20%10th90th$5$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.94
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.91 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.39 / $5.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.37 / $6.92
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $7.59