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Rhode Island rates for HCPCS A5063

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

Facilitymedian $7 · 10th–90th $2–$90%10%20%10th90th$7Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $7.59 / $8.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.00 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.14 / $3.16