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Idaho rates for HCPCS A4433

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

Facilitymedian $4 · 10th–90th $2–$70%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$50%10%20%10th90th$3$1.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.47 / $7.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.25 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $3.31
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $4.57 / $6.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $5.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $5.01
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.79 / $4.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.82 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.00 / $2.69