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California rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $5 · 10th–90th $4–$130%20%40%10th90th$5Professionalmedian $5 · 10th–90th $3–$310%20%10th90th$5$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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 / $2.00 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.37 / $11.75
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $15.14 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $5.01
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.12 / $10.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.41 / $13.49
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $8.13 / $10.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $7.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.55 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $3.09 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.80 / $8.71