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California 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
$1.79 / $1.96 / $18.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $3.01 / $18.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.77 / $7.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.20 / $6.07
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $8.92 / $13.78
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $14.01 / $24.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.62
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $6.53 / $7.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.57 / $10.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.52 / $32.52 / $48.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $6.53 / $6.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.93 / $6.22
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.32 / $12.32
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $7.65 / $9.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.77 / $6.20