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Massachusetts rates for HCPCS A5063

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

Facilitymedian $2 · 10th–90th $1$790%20%10th90th$2Professionalmedian $2 · 10th–90th $1$40%20%10th90th$2$1.0$10.0$100.0$1.0K$10.0K

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.89 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.88 / $4.27
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $3.63
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $5.01
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.89 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.88 / $4.27
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.55 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.29 / $3.31