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Kentucky 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
$1.92 / $3.36 / $3.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $3.98 / $5.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.05 / $6.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $5.81 / $23.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $7.84 / $10.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $8.16 / $10.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $7.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $4.05 / $31.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.72 / $8.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $3.01 / $4.30