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Virginia rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.19 / $6.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $5.36
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
$6.30 / $8.40 / $10.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.54 / $9.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $11.03 / $13.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $6.57 / $11.48
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.57 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $4.19 / $6.01