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Idaho rates for HCPCS A5051

Ostomy Pouch Closed; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $3.91 / $3.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.02 / $3.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.74 / $2.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.07 / $2.88 / $5.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.15 / $2.06