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Mississippi rates for HCPCS A5063

Ostomy Pouch Drainable; For Use On Barrier With Flange (2 Piece System) Each Ly. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $2.67 / $3.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.76 / $3.19