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Oregon rates for HCPCS A5061

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

Facilitymedian $5 · 10th–90th $4–$50%50%10th90th$5Professionalmedian $3 · 10th–90th $1–$50%10%20%10th90th$3$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $9.77 / $11.22
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.89 / $5.01
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.98 / $5.50
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.79 / $4.90
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.90 / $5.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.37 / $5.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $4.68 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.50 / $5.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.91 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.09 / $3.98