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Washington rates for HCPCS A4433

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

Facilitymedian $5 · 10th–90th $3$90%20%40%10th90th$5Professionalmedian $3 · 10th–90th $2$70%20%10th90th$3$0.1$0.2$1.0$5.0$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
$2.00 / $2.00 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $6.03
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.95 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.95
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $5.50 / $9.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $5.89 / $9.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.55 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.57 / $4.68
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.68 / $4.68
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.07 / $7.59
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $5.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.00 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.00 / $3.80
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.07 / $7.24