go back

Idaho rates for HCPCS A5062

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $3.94 / $3.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $2.15 / $3.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.90 / $2.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.90 / $5.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.12 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.25 / $2.09