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Virginia rates for HCPCS A5052

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

Facilitymedian $2 · 10th–90th $1–$30%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $2.19
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.45
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 / $1.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.14 / $2.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.48 / $2.24
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.51 / $2.63
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.38
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.91 / $7.24
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.91 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.81 / $1.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.05 / $1.62