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Colorado rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.28 / $2.64
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.22 / $3.14
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $3.00 / $4.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.07 / $1.78