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Alaska rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$2.0$5.0$10.0$20.0$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $2.29
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.62 / $2.14
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.14 / $6.76
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.04 / $2.04
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.04 / $2.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $2.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.55 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.05 / $4.27