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Wyoming rates for HCPCS A4375

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

Facilitymedian $11 · 10th–90th $9$230%20%10th90th$11Professionalmedian $20 · 10th–90th $10$230%20%10th90th$20$0.2$0.5$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.16 / $9.33 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.23 / $13.80