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Virginia 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 $4–$110%10%10th90th$6Professionalmedian $4 · 10th–90th $3–$70%20%10th90th$4$0.1$0.5$2.0$10.0$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
$3.98 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $8.71
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.13 / $11.48
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.89 / $9.77
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.01 / $5.37
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $7.08 / $12.02
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.08 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.16 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.98 / $6.46