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California rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $1 · 10th–90th $1$30%20%10th90th$1Professionalmedian $1 · 10th–90th $1$40%50%90th$1$0.0$0.2$2.0$20.0$200.0

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 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.10 / $2.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $3.55
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.39 / $5.13
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.47 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $3.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.19 / $4.07
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.38 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $2.24 / $3.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $2.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.93 / $1.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.10 / $2.57