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Alaska rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Facilitymedian $3 · 10th–90th $1–$50%20%40%10th90th$3Professionalmedian $3 · 10th–90th $1–$70%10%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 / $2.00 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $5.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $3.39 / $4.57
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.79 / $15.49
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.57 / $4.57
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.57 / $4.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $5.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.24 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.34 / $9.12