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Virginia 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 $2 · 10th–90th $2–$40%20%40%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K

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 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $4.90
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.31
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.79 / $6.76
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.31 / $5.01
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $3.39 / $5.75
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.88 / $3.09
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.17 / $16.22
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.17 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.82 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.34 / $3.72