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Florida rates for HCPCS A5054

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

Facilitymedian $2 · 10th–90th $1–$50%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$0.0$0.1$0.5$2.0$10.0$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 / $1.12 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.09 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.51
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $5.50 / $10.72
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.55 / $2.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.38 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $1.05 / $1.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.23 / $1.51
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $2.57