go back

Colorado rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.58 / $2.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.58 / $4.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $6.29
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.92 / $7.49
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $7.49 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.54 / $3.65