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Virginia rates for HCPCS A5062

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.93 / $2.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $2.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.14
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 / $1.59 / $2.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.12 / $3.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $2.06 / $3.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $4.09 / $5.20
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.43 / $4.26
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.43 / $4.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.55 / $2.22