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Missouri rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $5.85 / $8.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.71 / $9.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $6.91
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 / $5.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $7.35 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.19 / $6.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.19 / $6.01