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Wyoming rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $3.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $1.48 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.62 / $2.19