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Idaho rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $11.39 / $11.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.81 / $11.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $7.98 / $8.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $8.40 / $14.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $5.88 / $8.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.38 / $6.01