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Oregon rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Facilitymedian $6 · 10th–90th $5–$60%50%10th90th$6Professionalmedian $4 · 10th–90th $2–$70%10%10th90th$4$1.0$5.0$20.0$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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $12.59 / $14.45
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.13 / $6.92
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.37 / $7.41
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $6.31 / $6.46
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.46 / $7.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $6.17 / $8.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $6.17 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.41 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.51 / $3.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.75 / $5.25