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Washington, DC rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $9.80 / $9.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.46 / $4.88