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Colorado rates for HCPCS A4383

Ostomy pouch, urinary, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.93 / $16.93 / $16.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $16.93 / $27.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $21.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $27.84
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $19.17 / $49.23
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.75 / $49.23 / $82.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $16.70 / $25.16