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Kentucky rates for HCPCS A4435

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

Facilitymedian $4 · 10th–90th $3$130%20%10th90th$4Professionalmedian $4 · 10th–90th $3$60%20%40%10th90th$4$0.1$0.5$2.0$10.0

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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.31
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.96 / $14.13
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.00 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $12.88 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.31 / $38.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.25 / $11.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.16 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.89 / $5.37