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Florida rates for HCPCS A5057

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.19 / $7.57 / $10.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $8.50 / $11.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.89 / $13.41
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 / $6.86 / $8.53
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $8.92 / $8.92
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $10.32 / $13.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $12.61 / $13.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $6.49 / $8.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $12.61 / $12.61