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Wyoming rates for HCPCS A4377

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.58 / $5.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $5.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $5.85 / $5.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $6.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.54 / $2.83