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Maryland rates for HCPCS A5071

Ostomy Pouch Urinary; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $5.31 / $7.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $5.68 / $5.74
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 / $5.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $8.40 / $12.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $4.19 / $6.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $5.88