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Oregon rates for HCPCS A5054

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

Facilitymedian $2 · 10th–90th $2–$30%50%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $4.47 / $5.37
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.04 / $2.63
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.34 / $2.82
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.45 / $2.51
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.75
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.19 / $3.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $2.40 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.82 / $2.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.98 / $1.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.07 / $2.04