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Washington, DC rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $4.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.05 / $1.82