go back

Washington rates for HCPCS A5051

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $3.70 / $3.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.63 / $2.82
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.57 / $14.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.14
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.88 / $4.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $3.05 / $4.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.21 / $2.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.81 / $2.88
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.88 / $2.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.52 / $4.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.73 / $4.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.45 / $3.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.31 / $2.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.78 / $1.78