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Indiana 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 $5–$170%20%10th90th$11Professionalmedian $8 · 10th–90th $6–$110%10%20%10th90th$8$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
$11.48 / $11.48 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.08 / $16.98
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $17.38 / $19.95
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.38 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $8.13 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.25 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.46 / $10.23