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Montana rates for HCPCS A5052

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

Facilitymedian $2 · 10th–90th $1–$30%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$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 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $2.19 / $2.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.04 / $3.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.04 / $3.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.95 / $2.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.19 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.79 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.87 / $1.20