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California rates for HCPCS A5072

Ostomy pouch, urinary; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.45 / $14.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.15 / $14.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $2.14 / $5.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $4.59
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $6.75 / $10.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $10.59 / $18.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.86 / $3.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.94 / $5.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.46 / $7.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $24.84 / $37.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $4.36 / $4.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $4.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $9.30 / $9.30
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $5.78 / $7.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.22 / $6.60