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Minnesota rates for HCPCS A5052

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

Facilitymedian $4 · 10th–90th $1–$140%5%10%10th90th$4Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.45 / $3.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.09 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $7.59 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.51 / $2.88
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.24 / $14.13
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $2.09 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.87 / $2.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.79 / $0.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $1.05 / $2.88