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Alabama rates for HCPCS A5057

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $9.75 / $9.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $9.75 / $11.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $8.05 / $8.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.10 / $247.69 / $333.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $9.99 / $9.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $12.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.69 / $9.22