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Maryland 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
$1.94 / $2.81 / $3.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.04
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 / $3.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $4.44 / $6.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.21 / $3.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $3.11