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Nevada rates for HCPCS A5054

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

Facilitymedian $2 · 10th–90th $1–$20%50%10th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
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 / $1.32 / $1.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $1.58
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.57 / $4.47
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.57 / $2.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.98 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.35 / $2.69