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Montana rates for HCPCS A5072

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

Facilitymedian $4 · 10th–90th $3–$60%20%40%10th90th$4Professionalmedian $3 · 10th–90th $1–$50%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 / $3.02 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $4.37 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $4.37 / $4.37
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $4.07 / $7.94
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.07 / $7.94
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.89 / $5.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.37 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.91 / $1.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.09 / $2.82