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Maryland 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
$3.16 / $4.13 / $5.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.47
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 / $3.34 / $4.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.53 / $9.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.26 / $5.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.28 / $4.57