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Washington rates for HCPCS A5073

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

Facilitymedian $4 · 10th–90th $3$90%20%40%10th90th$4Professionalmedian $3 · 10th–90th $1$60%20%10th90th$3$0.1$0.2$1.0$5.0$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
$2.00
Median
$2.00
Typical High
$5.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.00
Typical High
$5.01
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$5.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.88
Typical High
$3.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.88
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.75
Typical High
$9.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.89
Typical High
$9.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.39
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.37
Typical High
$4.47
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.47
Typical High
$4.47
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.80
Typical High
$7.08
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.27
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.80
Typical High
$5.01
United
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$2.04
Typical High
$2.88
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.91
Typical High
$3.63
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.80
Typical High
$6.76