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Montana rates for HCPCS A5093

Ostomy accessory; convex insert

Facilitymedian $3 · 10th–90th $2–$30%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.35 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.88 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.88 / $2.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.69 / $5.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.69 / $5.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $2.51 / $3.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.88 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.05 / $1.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.15 / $1.55