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Wyoming 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
Professional
Modifier
Low / Median / High Price
$3.60 / $3.60 / $7.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.18 / $8.18 / $8.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $8.18 / $8.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $9.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.55 / $3.94