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Wyoming rates for HCPCS A4375

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $10.32 / $21.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.43 / $23.43 / $23.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.43 / $23.43 / $23.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $26.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $13.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $10.18 / $11.30