go back

Indiana 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
$3.74 / $3.74 / $4.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.78 / $3.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.13 / $4.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $4.80 / $6.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.80 / $5.89
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 / $2.67 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.08 / $3.11