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Colorado rates for HCPCS A4425

Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.15 / $3.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $5.63
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $2.43 / $6.25
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $6.25 / $9.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.12 / $3.20