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Virginia 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
$2.35 / $2.35 / $3.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.35 / $3.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.83
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
$3.33 / $3.80 / $5.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.66 / $4.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $5.00 / $6.34
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $3.01 / $5.58
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.01 / $5.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.90 / $3.16