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Alaska rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Facilitymedian $1 · 10th–90th $1–$30%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$50%20%40%10th90th$1$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.75
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.78 / $2.57
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $2.57 / $8.32
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.45 / $2.45
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.45 / $2.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $2.63
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.86 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.26 / $5.13