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Virginia rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $2.62 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.62 / $3.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $3.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.37
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 / $3.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.23 / $5.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.96 / $5.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $5.56 / $7.05
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.35 / $6.20
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.35 / $6.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.11 / $3.61