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Kansas rates for HCPCS A5061

Pouch Drainable; With Barrier Attached (1 Piece) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $5.45 / $5.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.63 / $5.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $5.09 / $5.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $7.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $4.25 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.46 / $6.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.27 / $3.32