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Kansas 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
$7.22 / $7.22 / $7.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.48 / $7.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.51 / $5.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79
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 / $3.93 / $9.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $5.25 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.26 / $8.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $3.01 / $4.38