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Florida 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
$1.12 / $1.41 / $1.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.60 / $2.20
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 / $1.60
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $6.16 / $10.34
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.53 / $2.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.37 / $1.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.20 / $1.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.39