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New Hampshire rates for HCPCS A5073

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

Facilitymedian $2 · 10th–90th $2$30%20%40%90th$2Professionalmedian $3 · 10th–90th $2$50%20%10th90th$3$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
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.00
Typical High
$5.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$3.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$3.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.51
Typical High
$1.82
United
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.51
Typical High
$3.89
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$5.89