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Delaware rates for HCPCS A4392

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $5.25 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.17 / $8.51