go back

Iowa rates for HCPCS A5057

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

Facilitymedian $11 · 10th–90th $7–$340%20%10th90th$11Professionalmedian $9 · 10th–90th $6–$140%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
$7.94 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $11.22
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
$8.51 / $15.49 / $19.05
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $13.49 / $14.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $14.79 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.71 / $22.39
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $36.31
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $22.39 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.75 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.76 / $12.30
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $12.02