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Kansas rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $5.45 / $5.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.63 / $5.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $5.53 / $5.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $5.49 / $5.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.86 / $5.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $4.26 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.44 / $6.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.46 / $3.52