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Montana rates for HCPCS A5061

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

Facilitymedian $5 · 10th–90th $3–$60%20%10th90th$5Professionalmedian $4 · 10th–90th $2–$60%10%20%10th90th$4$1.0$2.0$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
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $5.25 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $5.25 / $5.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.79 / $9.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.79 / $9.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.89 / $5.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.25 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.91 / $1.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.09 / $2.82