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Kansas 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
$9.27 / $9.27 / $9.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.47 / $9.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $9.10 / $9.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $8.96 / $8.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.04 / $12.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $7.24 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $4.19 / $10.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.78 / $5.64