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Kentucky 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
$1.47 / $2.27 / $2.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.62 / $3.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $6.12 / $7.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $5.33 / $7.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $5.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.75 / $21.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $3.04 / $5.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.04 / $2.93