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California rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Facilitymedian $2 · 10th–90th $2$60%20%10th90th$2Professionalmedian $3 · 10th–90th $1$180%20%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $1.00 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $17.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.24 / $5.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.45 / $6.61
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.46 / $9.77
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $8.71 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.90 / $6.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $4.27 / $7.94
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
$23.99 / $35.48 / $35.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
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
$1.38 / $4.47 / $6.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $4.57
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.62 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $1.82 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.09 / $5.13