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Pennsylvania rates for HCPCS A5061

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

Facilitymedian $4 · 10th–90th $2$50%50%10th90th$4Professionalmedian $3 · 10th–90th $2$50%20%40%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 / $3.80 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.24 / $3.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.16
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.50 / $9.55
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.02 / $5.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $5.01
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $3.02 / $3.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.08 / $9.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.68 / $5.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.04 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.45 / $5.01