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Virginia 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
$3.05 / $3.05 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $3.05 / $3.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $3.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33
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 / $3.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.94 / $5.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.25 / $5.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $6.49 / $8.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $3.86 / $6.75
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.86 / $6.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.46 / $3.70