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Mississippi 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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.80 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.45 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.78 / $2.88