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Virginia rates for HCPCS A5054

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

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

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 / $1.00 / $1.00
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 / $1.26 / $2.57
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.57 / $3.55
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.78 / $2.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.82 / $3.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.38 / $1.66
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.19 / $8.71
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.19 / $8.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.98 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.26 / $2.00