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Indiana 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
$3.60 / $3.60 / $4.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.13 / $3.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $4.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $3.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $4.45 / $6.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.83 / $5.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $3.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.09 / $3.15