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Missouri rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Facilitymedian $5 · 10th–90th $2–$130%10%10th90th$5Professionalmedian $4 · 10th–90th $3–$60%10%20%10th90th$4$0.5$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
$2.00 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.39 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.75 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.24 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.57 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.09 / $5.01