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Colorado rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $2.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $2.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $3.97
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.63 / $5.09
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $4.73 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.60 / $2.41