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Maryland 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
$5.84 / $5.84 / $5.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.39 / $3.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.78 / $5.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.88 / $2.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $2.65