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Florida 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
$3.79 / $4.73 / $6.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $5.35 / $7.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.34
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.43 / $13.59 / $22.80
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $5.43 / $8.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $3.03 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $4.05 / $5.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $4.03