go back

Maine rates for HCPCS A5061

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

Facilitymedian $3 · 10th–90th $2$40%50%10th90th$3Professionalmedian $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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $4.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.95 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $5.13
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.82 / $3.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.91 / $1.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $4.27 / $4.37