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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
$3.00 / $3.00 / $3.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $8.82 / $8.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.21 / $3.91