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Virginia rates for HCPCS A5072

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

Facilitymedian $3 · 10th–90th $2–$70%10%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$40%20%40%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K

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 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $5.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.45 / $2.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.01 / $6.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.55 / $5.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $3.31 / $6.17
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.82 / $3.31
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.80 / $14.45
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.80 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.91 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.45 / $3.89