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Kansas rates for HCPCS A5062

Ostomy Pouch Drainable; Without Barrier Attached (1 Piece) Each(Updated 01-01-2003) 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $3.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.65 / $3.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $3.19 / $3.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.16 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $4.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $2.50 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.54 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.39 / $2.20