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Kansas rates for HCPCS A5052

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $1.11 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.24 / $2.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
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 / $2.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.79 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $1.04 / $2.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.96 / $1.33