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Wyoming rates for HCPCS A4391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $8.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $3.80 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.17 / $5.62