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Idaho rates for HCPCS A5073

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

Facilitymedian $4 · 10th–90th $2–$60%10%10th90th$4Professionalmedian $3 · 10th–90th $1–$50%10%20%10th90th$3$1.0$2.0$5.0$10.0

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.89 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.57 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $3.39
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $3.89 / $5.75
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.98 / $4.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $2.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $4.68
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.17 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.74 / $2.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.86 / $2.51