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Virginia rates for HCPCS A5073

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

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

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
$2.00 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $4.47
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.09
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 / $2.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.57 / $5.75
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.09 / $4.68
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.09 / $5.50
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.51 / $2.63
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.39 / $13.18
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.39 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.74 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.19 / $3.47