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Alabama rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.75 / $4.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.75 / $5.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $3.92 / $3.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.34 / $224.92 / $302.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.93 / $6.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.77 / $4.49