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Colorado rates for HCPCS A4389

Ostomy pouch, drainable, with barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $6.46 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.57 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $6.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $8.91 / $21.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.91 / $8.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.72 / $5.50