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Colorado 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
$3.92 / $3.92 / $3.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $3.92 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $6.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $4.65 / $9.57
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $4.42 / $11.39
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $11.39 / $18.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.86 / $5.81