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Illinois rates for HCPCS A5051

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

Facilitymedian $3 · 10th–90th $1–$170%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0$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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $6.31 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $3.39
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $4.07 / $5.25
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.12 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.45 / $2.34