go back

Illinois rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $2 · 10th–90th $1–$140%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.0$0.1$0.5$2.0$10.0$50.0$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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $5.62 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.66
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $4.07 / $5.50
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.16 / $3.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.93 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.20 / $1.82