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Wyoming rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $3.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.88 / $2.09