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Missouri 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
$1.90 / $3.11 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.50 / $4.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $3.67
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $4.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.21 / $3.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.21 / $3.18