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Colorado rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $7.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $6.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $6.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $10.36
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $4.80 / $12.34
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $2.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $12.34 / $21.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $4.19 / $6.31