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See a sample rate comparisonHCPCS A5057 Fee Schedule
HCPCS A5057 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1-piece), each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $13.41 median of the 7 states in the free preview · View Medicaid rates for A5057 |
National average reimbursement for HCPCS A5057 by major payers:
$11.21
BCBS / Anthem
$7.21
UnitedHealthcare
$9.13
Aetna
$11.16
Cigna
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HCPCS A5057
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$24.55Published rateThe Baxley And Appling County Hospital Authority, Appling Healthcare System
Appling Hospital
$10.31Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$6.71Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$6.69Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$5.69Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5057 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A5057. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A5061-HCPCS | Low | Ostomy pouch, drainable; with 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 A5057. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5057 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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