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Colorado rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.32 / $10.32 / $10.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $10.32 / $17.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $12.03 / $12.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $16.96
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $11.68 / $29.99
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.57 / $6.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $29.99 / $47.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $10.18 / $15.33