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Colorado rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.60 / $5.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $8.80
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.08 / $10.48
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $10.48 / $17.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.55 / $5.36