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Wyoming rates for HCPCS A4389

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

Facilitymedian $4 · 10th–90th $3–$90%20%10th90th$4Professionalmedian $7 · 10th–90th $3–$90%20%10th90th$7$0.1$0.2$0.5$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.08 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $5.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $3.39 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.72 / $5.01