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Florida rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.16 / $2.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.78 / $3.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.86
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $10.05 / $16.86
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.50 / $3.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.24 / $2.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.88 / $2.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.86