go back

Montana rates for HCPCS A5063

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

Facilitymedian $4 · 10th–90th $2–$50%20%10th90th$4Professionalmedian $3 · 10th–90th $1–$50%10%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.98 / $3.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.72 / $7.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.72 / $7.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.16 / $4.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.98 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.45 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.58 / $2.14