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Florida 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
$1.89 / $2.36 / $3.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $3.03 / $4.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.86
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.29 / $12.07 / $24.45
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.15 / $4.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.46 / $2.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.09 / $2.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.46