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California rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.80 / $7.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.23 / $7.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.09 / $2.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.25 / $2.54
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.74 / $5.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $5.85 / $10.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.64 / $2.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.73 / $3.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.91 / $4.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $35.33 / $36.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $2.39 / $2.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.64 / $2.39
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.15
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.46 / $3.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.23 / $3.65