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Hawaii rates for HCPCS A5062

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $3.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.33 / $3.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $3.18 / $4.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.27 / $3.50
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.65 / $3.03