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Ostomy Accessory, Convex Insert

New Jersey rates for HCPCS A5093

Ostomy accessory; convex insert

Rates data updated July 2026.

How much does Ostomy Accessory, Convex Insert cost?

$1.62

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1.62 for this service. The price depends on where it is billed: about $1.62 from a physician practice, and about $1.32 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 5 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$1.62$1.23 to $1.82
FacilityA hospital or hospital-owned outpatient department$1.32$1.32 to $1.58

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $1 to $2
$0.02$0.1$0.5$2$10facility $1professional $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
$1.32
Median
$1.32
Typical High
$1.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.32
Typical High
$2.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.62
Typical High
$1.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.29
Typical High
$3.63
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.29
Typical High
$2.75
United
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.51
Typical High
$2.63

Where New Jersey 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.

New Jersey· 38th of 51

$1.62

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.