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Colorado rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.66 / $2.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $4.04
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.87 / $4.80
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.80 / $7.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.63 / $2.46