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Indiana rates for HCPCS A5073

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

Facilitymedian $3 · 10th–90th $2–$40%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$40%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0

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
$3.72 / $3.72 / $3.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $4.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $4.47
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.75 / $6.61
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 / $4.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.74 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $2.09 / $3.16