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Florida rates for HCPCS A5057

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

Facilitymedian $8 · 10th–90th $6–$100%20%40%10th90th$8Professionalmedian $9 · 10th–90th $6–$110%10%20%10th90th$9$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
$6.17 / $8.91 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $7.94
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $8.13
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.13 / $13.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.80 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.75 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.76 / $8.32
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $13.80