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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
$1.00 / $1.07 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.15 / $1.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $5.75 / $10.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $1.45 / $2.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.38 / $2.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.02 / $1.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.12 / $1.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $2.40