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New York rates for HCPCS A5073

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

Facilitymedian $3 · 10th–90th $1$70%20%40%10th90th$3Professionalmedian $3 · 10th–90th $2$60%20%40%10th90th$3$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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 / $3.47 / $4.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.24 / $6.03
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.55 / $3.55
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.31 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $5.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $7.24 / $16.60
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $4.37 / $8.32
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.17 / $4.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.91 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.82 / $7.24
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.24 / $3.39
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.24