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Missouri rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $3.44 / $4.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.77 / $5.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $4.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $4.32 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.46 / $3.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.46 / $3.70