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Kentucky rates for HCPCS A5054

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

Facilitymedian $1 · 10th–90th $1–$40%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.0$0.1$0.5$2.0$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. 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.35
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $3.39 / $4.37
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.16 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $4.07 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.62 / $12.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.48 / $3.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.98 / $1.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.20 / $1.58