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Montana rates for HCPCS A4328

Female external urinary collection device; pouch, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.89 / $15.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $14.13 / $27.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $14.13 / $27.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $13.18 / $20.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $15.14 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.17 / $7.59