go back

Missouri rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $3.44 / $4.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.70 / $5.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $4.63
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 / $2.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.20 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.46 / $4.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.46 / $3.52