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Indiana rates for HCPCS A4433

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

Facilitymedian $4 · 10th–90th $2–$40%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$40%20%10th90th$2$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
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $4.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.45 / $4.79
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $6.17 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.82 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.24 / $3.31