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Idaho rates for HCPCS A5073

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.80 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.57 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $3.89 / $5.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $4.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.09 / $5.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.17 / $4.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.70 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.82 / $2.29