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Indiana rates for HCPCS A4435

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

Facilitymedian $6 · 10th–90th $3–$80%20%10th90th$6Professionalmedian $5 · 10th–90th $3–$70%20%10th90th$5$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
$6.92 / $6.92 / $6.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.37 / $7.76
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $10.47 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.16 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.89 / $6.31