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Washington rates for HCPCS A5063

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

Facilitymedian $4 · 10th–90th $3$70%50%10th90th$4Professionalmedian $2 · 10th–90th $1$50%20%10th90th$2$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
$2.00 / $2.00 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.40 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $2.40
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.90 / $8.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.13 / $8.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.88 / $64.57
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
$3.24 / $3.31 / $3.80
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.31 / $6.17
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.31 / $4.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.62 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.70 / $3.09
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.31 / $5.75