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New York rates for HCPCS A5056

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

Facilitymedian $5 · 10th–90th $2$110%20%10th90th$5Professionalmedian $4 · 10th–90th $3$90%10%20%10th90th$4$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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 / $5.25 / $7.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $5.75 / $9.12
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.50 / $5.50
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.17 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $7.59
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $10.96 / $25.70
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $7.08 / $12.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.37
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.27 / $5.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.31 / $6.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.75 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $4.37 / $11.22
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $6.03
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.27 / $5.01