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North Dakota 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 $8–$200%20%40%10th90th$9Professionalmedian $9 · 10th–90th $6–$150%10%10th90th$9$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
$7.94 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $15.49 / $19.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.72 / $29.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.31 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $8.32 / $15.85