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Oklahoma rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $1 · 10th–90th $1–$40%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.38 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.51 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.02 / $2.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $1.10 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.98 / $1.48