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Wyoming rates for HCPCS A4416

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $3.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $3.76 / $3.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $3.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.63 / $1.81