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Kansas rates for HCPCS A5053

Ostomy Pouch Closed; For Use On Faceplate Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.66 / $2.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $1.28 / $2.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.00 / $2.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $1.98 / $2.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.36 / $2.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $2.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.21 / $3.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.10 / $1.63