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Wyoming rates for HCPCS A4391

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

Facilitymedian $4 · 10th–90th $4–$100%20%10th90th$4Professionalmedian $8 · 10th–90th $4–$100%20%10th90th$8$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
$3.98 / $7.94 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $3.80 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.17 / $5.62