go back

Maryland rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.31 / $1.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.42
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 / $1.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.08 / $3.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.04 / $1.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.46