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Rhode Island rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $4 · 10th–90th $1–$60%10%20%10th90th$4Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.79 / $5.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.29 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.38 / $2.00