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Wyoming rates for HCPCS A4430

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $5.12 / $10.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $13.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $7.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.05 / $5.60