go back

West Virginia rates for HCPCS A5057

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

Facilitymedian $7 · 10th–90th $7–$190%50%90th$7Professionalmedian $8 · 10th–90th $7–$110%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $10.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $18.20 / $18.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $16.22 / $21.88
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 / $6.92 / $64.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.25 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $8.13 / $12.30