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Indiana rates for HCPCS A5062

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.84 / $2.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $2.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.55 / $2.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $3.28 / $4.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.43 / $4.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $3.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.45 / $2.22