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Missouri rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $2 · 10th–90th $1–$50%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.2$1.0$5.0$20.0

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 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.23 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $2.45
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 / $1.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $2.04 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.20 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.93 / $1.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.12 / $1.82