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Indiana rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $2 · 10th–90th $1–$20%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0$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
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $2.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $2.24
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.69 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.38 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $2.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.93 / $1.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.15 / $1.74