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Alabama rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.49 / $1.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.49 / $1.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.65 / $194.96 / $262.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.15 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.98 / $1.48