go back

Mississippi 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
$3.14 / $3.14 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.14 / $3.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
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 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.76 / $3.19