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Washington rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $6.33 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $2.79 / $6.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.36 / $24.60
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
Facility
Modifier
Low / Median / High Price
$3.81 / $5.17 / $8.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $5.17 / $9.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.78 / $4.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $4.82 / $4.94
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $4.94 / $5.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.32 / $7.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.68 / $7.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.20 / $5.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.09 / $4.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.38