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California rates for HCPCS A5052

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

Facilitymedian $1 · 10th–90th $1$30%20%10th90th$1Professionalmedian $1 · 10th–90th $1$40%50%90th$1$0.2$1.0$5.0$20.0$100.0$500.0

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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.00 / $2.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.10 / $3.24
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.88 / $4.37
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.80 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.34 / $2.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.91 / $3.47
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 / $15.49 / $15.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
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
$0.62 / $2.00 / $2.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $2.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.45 / $4.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.79 / $0.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.93 / $2.24