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Wyoming rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $7.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $8.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.42 / $3.79