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Indiana rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.19 / $7.19 / $8.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.33 / $7.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $4.03 / $7.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $5.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $8.82 / $12.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $9.24 / $11.34
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 / $5.04 / $8.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $4.00 / $5.93