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North Dakota rates for HCPCS A5063

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

Facilitymedian $2 · 10th–90th $2–$70%50%90th$2Professionalmedian $3 · 10th–90th $1–$40%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
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 / $2.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.17 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $4.47 / $5.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.24 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.78 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $2.29 / $4.47