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Indiana rates for HCPCS A5052

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $2.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.32 / $1.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.29 / $3.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.29 / $2.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.99 / $1.49