go back

Oregon rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Facilitymedian $4 · 10th–90th $3–$40%50%10th90th$4Professionalmedian $2 · 10th–90th $1–$40%10%20%10th90th$2$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
$2.00 / $2.00 / $2.00
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
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $7.41 / $8.51
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.02 / $3.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.09 / $4.27
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.72 / $3.80
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.80 / $3.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.39 / $4.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.63 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.27 / $4.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.45 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.58 / $3.09