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Colorado rates for HCPCS A4392

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $8.51 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.03 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $8.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $11.75 / $28.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.47 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.79 / $7.24