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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
$2.00 / $3.02 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $5.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $2.29 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.51 / $3.47