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Washington rates for HCPCS A5056

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

Facilitymedian $6 · 10th–90th $4$130%20%10th90th$6Professionalmedian $4 · 10th–90th $2$90%10%20%10th90th$4$0.1$0.2$1.0$5.0$20.0

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
$3.02 / $3.02 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.24 / $7.94
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.17 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $7.76 / $14.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $8.13 / $14.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.50 / $60.26
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
$5.50 / $6.46 / $6.46
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.75 / $10.47
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.62 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.95 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.75 / $5.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.62 / $10.00