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Ostomy Accessory, Convex Insert

Virginia rates for HCPCS A5093

Ostomy accessory; convex insert

Rates data updated July 2026.

How much does Ostomy Accessory, Convex Insert cost?

$1.45

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1.45 for this service. The price depends on where it is billed: about $1.45 from a physician practice, and about $1.82 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 8 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$1.45$1.26 to $1.82
FacilityA hospital or hospital-owned outpatient department$1.82$1.58 to $2.51

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $4Professionalmedian $1 · 10th to 90th $1 to $2
$1$10$100$1K$10Kfacility $2professional $1

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
$1.45
Median
$1.45
Typical High
$1.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.45
Typical High
$2.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$2.57
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$1.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.75
Typical High
$3.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.66
Typical High
$2.51
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.91
Typical High
$3.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.55
Typical High
$1.66
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$2.09
Typical High
$7.94
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.09
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$1.07
Typical High
$1.38
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.35
Typical High
$2.04

Where Virginia 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.

Virginia· 45th of 51

$1.45

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.