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Ohio rates for HCPCS A5054

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

Facilitymedian $2 · 10th–90th $1$20%20%10th90th$2Professionalmedian $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 / $2.00 / $2.09
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
$2.00 / $2.00 / $2.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.51 / $3.31
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $2.14 / $3.02
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.24 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.58
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.95 / $2.95
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.88 / $5.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.00 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.17 / $1.66