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Idaho rates for HCPCS A5056

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $8.86 / $8.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $3.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $4.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.59 / $8.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $6.20 / $6.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $6.53 / $12.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $6.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.63 / $5.05