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Missouri 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–$160%10%20%10th90th$6Professionalmedian $5 · 10th–90th $3–$80%20%10th90th$5$1.0$2.0$5.0$10.0$20.0$50.0

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
$3.02 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.27 / $7.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $7.24 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.98 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.16 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.89 / $6.31