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Idaho rates for HCPCS A5052

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.47 / $2.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.98 / $2.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.53 / $4.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.46 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.83 / $1.49