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California rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.26 / $2.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.26 / $3.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.68
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.95 / $6.11
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $6.18 / $10.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.04
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.88 / $3.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.02 / $4.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $21.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.54 / $2.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $2.74
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.44 / $5.44
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.87 / $3.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.22 / $2.75