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Hawaii rates for HCPCS A5051

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.57 / $3.63
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.95 / $3.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.04 / $3.16