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Montana rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Facilitymedian $8 · 10th–90th $6–$130%20%40%10th90th$8Professionalmedian $6 · 10th–90th $4–$100%10%10th90th$6$2.0$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
$3.98 / $6.03 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $8.91 / $8.91
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $8.32 / $16.22
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.32 / $16.22
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $8.71 / $11.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.91 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.27 / $5.25