go back

Kentucky 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
$1.03 / $1.94 / $2.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $2.23 / $3.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.73 / $4.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $2.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $4.54 / $6.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.73 / $6.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $4.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.34 / $18.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.29 / $4.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.75 / $2.41