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California rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.91 / $8.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.35 / $8.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.34 / $3.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.55 / $5.01
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.99 / $6.16
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $6.23 / $10.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.87 / $2.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.90 / $3.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.02 / $4.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $18.38 / $23.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $2.58 / $3.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $2.76
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $5.49 / $5.49
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.39 / $4.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.32 / $2.90