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Idaho 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
Professional
Modifier
Low / Median / High Price
$2.48 / $5.52 / $5.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $3.43 / $5.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $4.00 / $4.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $4.07 / $7.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $2.97 / $4.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.79 / $3.13