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Colorado rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.43 / $5.43 / $5.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.43 / $8.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $8.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $13.26
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $6.14 / $15.79
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $3.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $15.79 / $27.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $5.36 / $8.07