go back

Washington, DC rates for HCPCS A5054

Ostomy Pouch Closed; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) M: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $4.98 / $4.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.17 / $1.84