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Missouri rates for HCPCS A5062

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.74 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.62 / $3.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.75 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.55 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.20 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.45 / $2.19