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Virginia rates for HCPCS A5051

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.79 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.97
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.88 / $3.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.90 / $3.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.78 / $4.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $2.29 / $3.93
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.29 / $3.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.44 / $2.06