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Idaho rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $5.69 / $5.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $3.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $4.20 / $5.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.20 / $4.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.20 / $7.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $3.00 / $4.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.09 / $3.28