go back

California rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Facilitymedian $1 · 10th–90th $1$40%20%10th90th$1Professionalmedian $1 · 10th–90th $1$50%20%10th90th$1$0.0$0.2$2.0$20.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.38 / $3.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $3.89
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.07 / $6.17
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $5.37 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.91
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.24 / $3.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.63 / $4.79
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $21.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $2.88
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $2.75 / $3.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $2.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.95 / $4.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $1.12 / $1.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.29 / $3.09