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See a sample rate comparisonHCPCS A5051 Fee Schedule
HCPCS A5051 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy pouch, closed; with barrier attached (1-piece), each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $2.46 median of the 8 states in the free preview · View Medicaid rates for A5051 |
National average reimbursement for HCPCS A5051 by major payers:
$2.46
BCBS / Anthem
$1.53
UnitedHealthcare
$1.98
Aetna
$3.56
Cigna
Compare published rates across providers.
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HCPCS A5051
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$5.28Published rateArthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$1.91Published rateKamran Rajaee
$1.44Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$1.33Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.92Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5051 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A5051. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4932-HCPCS | Low | Rectal thermometer, reusable, any type, each |
| A5051-HCPCS | Low | Ostomy pouch, closed; with barrier attached (1-piece), each |
| A5052-HCPCS | Low | Ostomy pouch, closed; without barrier attached (1-piece), each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5051. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5051 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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