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Colorado rates for HCPCS A4390

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $5.77 / $5.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $9.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $14.08
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $6.54 / $16.76
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $3.68 / $3.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $16.76 / $29.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $5.69 / $8.58