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Hawaii rates for HCPCS A5071

Ostomy pouch, urinary; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.41 / $10.47
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.51 / $9.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.03 / $9.33