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Wyoming rates for HCPCS A4367

Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.42 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $10.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.36 / $9.25