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Colorado rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.24 / $3.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $5.47
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $2.52 / $6.51
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.00 / $10.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.21 / $3.32