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Montana rates for HCPCS A5071

Ostomy pouch, urinary; with barrier attached (one piece), each

Facilitymedian $8 · 10th–90th $5–$100%20%10th90th$8Professionalmedian $6 · 10th–90th $3–$120%10%10th90th$6$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
$3.02 / $6.03 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $8.91
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $15.85
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $15.85
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.76 / $10.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.91 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.55 / $4.79