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Pennsylvania rates for HCPCS A5052

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

Facilitymedian $1 · 10th–90th $1$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1$20%50%90th$1$1.0$10.0$100.0$1.0K$10.0K

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 / $1.62 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.29
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.75 / $4.07
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.29 / $2.14
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $2.82 / $4.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.48 / $2.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.82 / $2.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.93 / $1.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $1.05 / $2.14