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Arizona rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $3 · 10th–90th $1–$110%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.0$0.1$0.5$2.0$10.0$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 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $6.46 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.86 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.62 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.02 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.93 / $1.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.02 / $1.55