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New York rates for HCPCS A5057

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

Facilitymedian $10 · 10th–90th $5$220%20%10th90th$10Professionalmedian $8 · 10th–90th $6$190%20%10th90th$8$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$5.01 / $10.72 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $21.88
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $11.22 / $11.22
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.51 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $15.49
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $22.39 / $52.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.45 / $26.30
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.91 / $10.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.18 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.75 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.91 / $22.91
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $10.47 / $12.59
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.91 / $10.47