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Hawaii rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $3.92 / $3.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.49 / $5.43
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.17 / $5.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.94 / $6.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.92 / $5.43
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.11 / $4.70