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Colorado rates for HCPCS A4376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.59 / $28.59 / $28.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $28.59 / $47.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $35.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $69.80
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $31.31 / $83.10
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $83.10 / $131.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.84 / $28.19 / $42.47