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Kentucky rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.05 / $1.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.27 / $1.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.14 / $1.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $2.89 / $3.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.67 / $3.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $2.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.36 / $3.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.41 / $2.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.03 / $1.48