go back

Colorado rates for HCPCS A5063

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.63 / $2.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $3.97
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.84 / $4.73
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $4.73 / $7.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.60 / $2.41