| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.68 | $0.68 | $0.68 | |
Aetna
| Professional | $0.68 | $0.68 | $0.68 | |
Cigna
| Professional | $1.72 | $1.72 | $1.72 | |
Medica
| Facility | $0.68 | $0.68 | $1.15 |
Ostomy pouch, closed; for use on barrier with locking flange (two piece), each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.68 | $0.68 | $0.68 | |
Aetna
| Professional | $0.68 | $0.68 | $0.68 | |
Cigna
| Professional | $1.72 | $1.72 | $1.72 | |
Medica
| Facility | $0.68 | $0.68 | $1.15 |