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Maryland 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
Professional
Modifier
Low / Median / High Price
$1.10 / $1.59 / $2.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.72
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 / $1.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.50 / $3.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.25 / $1.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.76