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Arizona rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Facilitymedian $3 · 10th–90th $1–$80%10%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $3.72 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.47 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $2.95 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.58 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.48 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.58 / $2.40