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Ostomy Accessory, Convex Insert

Pennsylvania rates for HCPCS A5093

Ostomy accessory; convex insert

Rates data updated July 2026.

How much does Ostomy Accessory, Convex Insert cost?

$1.66

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1.66 for this service. The price depends on where it is billed: about $1.66 from a physician practice, and about $4.47 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 9 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$1.66$1.35 to $2.04
FacilityA hospital or hospital-owned outpatient department$4.47$1.32 to $10.47

How much rates vary

Facilitymedian $4 · 10th to 90th $1 to $14Professionalmedian $2 · 10th to 90th $1 to $3
$1$10$100$1K$10Kfacility $4professional $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
$2.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.66
Typical High
$2.34
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$2.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$3.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.82
Typical High
$4.79
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.66
Typical High
$2.75
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$2.14
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.66
Typical High
$2.24
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$9.77
Typical High
$15.85
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.57
Typical High
$2.57
United
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.23
Typical High
$1.74
United
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$1.35
Typical High
$2.75

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$1.66

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.