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New York rates for HCPCS A5054

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

Facilitymedian $2 · 10th–90th $1$40%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1$30%50%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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 / $2.04 / $2.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.58 / $3.55
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.09 / $2.09
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.58 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $3.02
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.27 / $9.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $2.57 / $4.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.82 / $1.82
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.45 / $2.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.05 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.58 / $4.27
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.82 / $1.82
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.82 / $1.82