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Illinois rates for HCPCS A5072

Ostomy pouch, urinary; without barrier attached (one piece), each

Facilitymedian $5 · 10th–90th $2–$270%10%20%10th90th$5Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0

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 / $4.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.95 / $4.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $11.22 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.45 / $3.39
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.57 / $6.76
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.91 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.40 / $3.98