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Washington, DC rates for HCPCS A5071

Ostomy Pouch Urinary; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $5.67 / $5.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $5.67 / $5.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $5.68 / $5.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.67 / $16.67 / $16.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.90 / $8.31