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Oregon rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Facilitymedian $4 · 10th–90th $3–$40%50%10th90th$4Professionalmedian $2 · 10th–90th $1–$50%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
$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
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $8.13 / $9.55
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.55 / $4.68
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.98 / $5.25
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $4.47
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $4.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.80 / $5.01
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.27 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.01 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.70 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.86 / $3.63