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Washington rates for HCPCS A5051

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

Facilitymedian $3 · 10th–90th $2$50%50%10th90th$3Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0

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 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.86
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.55 / $6.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.72 / $5.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.19 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.82 / $2.88
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.88 / $2.88
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.51 / $4.68
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.51 / $3.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.23 / $1.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.23 / $2.34
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.51 / $4.37