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Kentucky rates for HCPCS A5057

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

Facilitymedian $9 · 10th–90th $5–$210%10%20%10th90th$9Professionalmedian $8 · 10th–90th $6–$170%10%10th90th$8$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
$6.03 / $6.03 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $12.02 / $22.91
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $23.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.60 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.96 / $64.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.96 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.25 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.46 / $8.71