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Arkansas rates for HCPCS A5057

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

Facilitymedian $398,107 · 10th–90th $10–$933,2540%10%20%10th90th$398,107Professionalmedian $8 · 10th–90th $5–$110%20%10th90th$8$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $18.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.92 / $8.51
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.75 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.17 / $9.12