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Washington, DC rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.19 / $3.89