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Indiana rates for HCPCS A5056

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $5.60 / $6.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.07 / $5.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $6.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.20 / $5.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.55 / $7.18 / $9.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $7.84 / $9.14
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 / $6.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.11 / $4.62