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Wyoming 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
$4.91 / $4.91 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $11.15 / $11.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $11.15 / $11.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $12.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $6.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.84 / $5.38