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Kentucky 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
$0.78 / $1.29 / $1.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.53 / $2.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $3.51 / $4.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.01 / $4.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.56 / $12.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.16 / $1.42 / $3.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.17 / $1.60