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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
$3.98 / $7.08 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $4.37 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.79 / $6.61