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See a sample rate comparisonHCPCS A5056 Fee Schedule
HCPCS A5056 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1-piece), each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $6.53 median of the 7 states in the free preview · View Medicaid rates for A5056 |
National average reimbursement for HCPCS A5056 by major payers:
$5.54
BCBS / Anthem
$3.51
UnitedHealthcare
$4.44
Aetna
$5.35
Cigna
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HCPCS A5056
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$12.14Published rateEmory Crawford Long Hospital
Emory University
$9.36Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$3.25Published rateChristopher Raio
St Francis Hospital
$2.93Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5056 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A5056. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5055-HCPCS | Low | Stoma cap |
| A5056-HCPCS | Low | Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1-piece), each |
| A5057-HCPCS | Low | Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (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 A5056. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5056 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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