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See a sample rate comparisonHCPCS A5093 Fee Schedule
HCPCS A5093 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy accessory; convex insert
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $2.135 median of the 8 states in the free preview · View Medicaid rates for A5093 |
National average reimbursement for HCPCS A5093 by major payers:
$2.15
BCBS / Anthem
$1.41
UnitedHealthcare
$1.81
Aetna
$3.22
Cigna
Compare published rates across providers.
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HCPCS A5093
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$4.99Published rateVictoria Lewis-Holland
$2.04Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$1.30Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$1.15Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.87Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5093 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A5093. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5083-HCPCS | Low | Continent device, stoma absorptive cover for continent stoma |
| A5093-HCPCS | Low | Ostomy accessory; convex insert |
| A5102-HCPCS | Low | Bedside drainage bottle with or without tubing, rigid or expandable, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5093. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5093 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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