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Washington rates for HCPCS A5062

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $3.75 / $3.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.65 / $3.94
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.57 / $17.67
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
Facility
Modifier
Low / Median / High Price
$2.54 / $3.27 / $5.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.45 / $5.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.23 / $2.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.83 / $2.90
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.90 / $2.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.54 / $4.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.75 / $4.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.47 / $3.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.32 / $2.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.02 / $2.02