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Virginia rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $2 · 10th–90th $1–$40%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $2.40
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $1.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.45 / $3.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.74 / $2.63
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.62 / $2.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.38 / $1.51
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.86 / $7.08
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.86 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.93 / $1.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.20 / $1.91