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Wyoming rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.43 / $11.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $12.33 / $12.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.33 / $12.33 / $12.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $13.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $7.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.36 / $5.95