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Missouri rates for HCPCS A5051

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.02 / $2.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.62 / $2.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.37
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 / $1.47 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $2.59 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.44 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.44 / $2.06