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Perianal Fecal Collection Pouch with Adhesive

Montana rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $6$130%20%40%10th90th$8Professionalmedian $6 · 10th–90th $4$160%20%10th90th$6$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
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$6.03
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$8.91
Typical High
$8.91
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$8.32
Typical High
$16.22
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.32
Typical High
$16.22
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$8.71
Typical High
$11.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.91
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$5.25