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Ostomy Accessory, Convex Insert

Michigan rates for HCPCS A5093

Ostomy accessory; convex insert

Rates data updated July 2026.

How much does Ostomy Accessory, Convex Insert cost?

$2.09

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2.09 for this service. The price depends on where it is billed: about $2.00 from a physician practice, and about $2.82 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.00$1.32 to $2.75
FacilityA hospital or hospital-owned outpatient department$2.82$2.09 to $8.13

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $12Professionalmedian $2 · 10th to 90th $1 to $3
$0.1$1$10facility $3professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$2.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.48
Typical High
$2.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.13
Typical High
$15.85
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$1.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.70
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$1.62
Typical High
$5.75
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.19
Typical High
$3.31
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.24
United
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$1.07
Typical High
$1.74
United
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.29
Typical High
$1.95

Where Michigan sits

The same service costs 2.3 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 13th of 51

$2.09

HI $2.95CO $1.26

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.