go back

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
$4.91 / $4.91 / $4.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.91 / $8.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $7.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $11.99
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $5.56 / $14.28
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $14.28 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.84 / $7.30