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Wyoming rates for HCPCS A4393

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

Facilitymedian $6 · 10th–90th $5–$120%20%10th90th$6Professionalmedian $10 · 10th–90th $5–$120%20%10th90th$10$0.1$0.2$0.5$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $4.90 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.37 / $7.24