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Florida rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.32 / $1.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.48 / $1.79
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 / $1.37
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $6.76 / $13.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.80 / $2.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.37 / $1.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.12 / $1.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37