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New York rates for HCPCS A5052

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

Facilitymedian $2 · 10th–90th $1$40%50%10th90th$2Professionalmedian $1 · 10th–90th $1$30%50%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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 / $1.66 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.86 / $3.24
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.74 / $1.74
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $2.24
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $3.47 / $8.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $2.63 / $4.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.32
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $2.04 / $2.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.87 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.38 / $3.63
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.58 / $1.70
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.58