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Wyoming rates for HCPCS A4376

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $28.59 / $58.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.92 / $64.92 / $64.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.92 / $64.92 / $64.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $73.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $39.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $28.19 / $31.30