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California rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Facilitymedian $2 · 10th–90th $2$70%20%10th90th$2Professionalmedian $3 · 10th–90th $1$190%20%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.29 / $5.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.51 / $6.76
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $6.92 / $10.47
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $9.12 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.09
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.25 / $6.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $8.32
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $32.36 / $33.11
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $4.68 / $6.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $4.79
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.89 / $9.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $1.91 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.24 / $5.37