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Virginia 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
$8.30 / $8.30 / $9.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $8.30 / $9.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $8.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $8.77 / $9.17
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $13.41 / $16.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.26 / $8.93 / $15.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $17.62 / $22.35
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $10.66 / $18.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $10.66 / $18.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $6.70 / $10.32