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Oregon rates for HCPCS A5052

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

Facilitymedian $2 · 10th–90th $2–$20%50%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $3.72 / $4.47
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.74 / $2.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.82 / $2.29
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.04 / $2.09
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.09 / $2.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.82 / $2.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $2.00 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.34 / $2.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.79 / $0.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.87 / $1.70