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Wyoming rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $6.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $7.52 / $7.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $7.52 / $7.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $8.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.26 / $3.63