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Kansas rates for HCPCS A5051

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.53 / $3.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $4.01 / $4.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.53
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 / $4.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.50 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.44 / $3.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.37 / $1.84