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Kentucky rates for HCPCS A5052

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.07 / $1.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.23 / $1.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.91 / $3.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.50 / $3.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $2.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.23 / $10.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.35 / $2.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.00 / $1.37