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Massachusetts rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $2 · 10th–90th $1–$790%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$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
$4.17 / $4.17 / $4.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.14 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.62 / $2.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.38 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.70
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.75
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.14 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.62 / $2.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.02 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.38 / $1.82