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Hawaii rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $4.72 / $4.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.41 / $6.52
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $6.21 / $6.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $5.93 / $8.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $5.87 / $6.52
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.94 / $5.64