| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.70 | $21.08 | $30.09 | |
Cigna
| Facility | $20.66 | $20.66 | $20.66 | |
Cigna
| Professional | $17.55 | $17.55 | $25.53 | |
United
| Professional | $11.44 | $17.16 | $25.85 |
Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.70 | $21.08 | $30.09 | |
Cigna
| Facility | $20.66 | $20.66 | $20.66 | |
Cigna
| Professional | $17.55 | $17.55 | $25.53 | |
United
| Professional | $11.44 | $17.16 | $25.85 |