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Missouri rates for HCPCS A5052

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

Facilitymedian $2 · 10th–90th $1–$50%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$0.2$1.0$5.0$20.0

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.10 / $2.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.78 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $1.05 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.81 / $1.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $1.00 / $1.48