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Montana rates for HCPCS A4326

Male external catheter with integral collection chamber, any type, each

Facilitymedian $13 · 10th–90th $9–$170%20%40%10th90th$13Professionalmedian $10 · 10th–90th $5–$170%10%20%10th90th$10$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $13.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.45 / $14.45
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $25.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $25.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.59 / $17.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.45 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.46 / $8.71