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Nationwide rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $5.13 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.37 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.90 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.75 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $13.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.55 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.37 / $7.08