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New York rates for HCPCS A5061

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

Facilitymedian $4 · 10th–90th $2$80%20%10th90th$4Professionalmedian $3 · 10th–90th $2$70%50%10th90th$3$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$2.00 / $3.98 / $5.62
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
$2.51 / $3.47 / $6.76
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $4.07
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.16 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $5.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $8.32 / $19.50
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.01 / $9.55
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.55 / $3.55
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.79 / $4.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.09 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $3.16 / $8.32
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.55 / $3.55
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.55 / $3.55