go back

Pennsylvania rates for HCPCS A5054

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

Facilitymedian $2 · 10th–90th $1$20%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1$20%50%90th$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 / $1.95 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.58
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $2.82 / $4.90
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.55 / $2.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.86 / $1.86
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $3.39 / $5.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.29 / $2.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.07 / $1.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.26 / $2.57