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Missouri rates for HCPCS A4433

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

Facilitymedian $4 · 10th–90th $2–$100%10%10th90th$4Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
$2.00 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.45 / $4.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $4.79
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 / $2.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $3.98 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.34 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.82 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.24 / $3.39