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California rates for HCPCS A5073

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

Facilitymedian $2 · 10th–90th $2$60%20%10th90th$2Professionalmedian $2 · 10th–90th $1$170%20%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $1.00 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.04 / $5.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $6.03
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $6.17 / $9.33
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.13 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.68 / $6.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $4.07 / $7.41
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $32.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $4.17 / $5.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $4.37
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.37 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $1.70 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.00 / $4.79