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Indiana rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Facilitymedian $4 · 10th–90th $2–$50%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$1.0$2.0$5.0$10.0$20.0

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
$4.27 / $4.27 / $4.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $4.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $4.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.51 / $4.79
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.46 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.95 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.91 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.34 / $3.55