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Washington rates for HCPCS A4435

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

Facilitymedian $8 · 10th–90th $6$150%20%10th90th$8Professionalmedian $5 · 10th–90th $3$110%10%20%10th90th$5$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 / $3.98 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $10.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $9.12
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
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $10.47 / $16.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.96 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.17 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.94 / $8.13
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.13 / $8.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $7.08 / $12.88
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $7.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.92 / $9.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.47 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.47 / $6.46
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.92 / $12.30