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Missouri 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
$5.75 / $9.36 / $13.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.17 / $14.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.64 / $11.61
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 / $8.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $12.17 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $6.70 / $11.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $6.70 / $9.92