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North Carolina rates for HCPCS A5061

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

Facilitymedian $4 · 10th–90th $2$100%20%10th90th$4Professionalmedian $3 · 10th–90th $2$40%20%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0

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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.76 / $6.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.47
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $3.55
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $4.37 / $7.24
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
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
$1.74 / $2.45 / $3.47
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $37.15