go back

Minnesota rates for HCPCS A5063

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

Facilitymedian $8 · 10th–90th $2–$280%10%10th90th$8Professionalmedian $4 · 10th–90th $2–$40%50%10th90th$4$0.0$0.1$0.5$2.0$10.0$50.0

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
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.47 / $6.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.80 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.01 / $5.75
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $14.45 / $28.18
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $3.80 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.82 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $1.45 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.86 / $5.25