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Kansas rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.18 / $4.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $2.02 / $4.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.65 / $4.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.90 / $4.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $3.87 / $3.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $5.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $3.26 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.88 / $4.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.70 / $2.54