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Maryland rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.73 / $2.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.72 / $3.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.36 / $2.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.91