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Indiana rates for HCPCS A5051

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.83 / $2.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $3.17 / $4.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.17 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.36 / $2.04