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Kentucky 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
$3.95 / $6.90 / $7.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.23 / $11.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.41 / $13.41 / $13.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $11.96 / $23.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.41 / $16.09 / $22.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.41 / $16.76 / $21.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $15.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.31 / $64.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $10.66 / $17.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $6.19 / $9.49