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Idaho rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.54 / $34.83 / $34.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $16.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $18.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.02 / $17.76 / $34.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $24.37 / $25.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.49 / $25.65 / $44.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $17.96 / $26.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $10.36 / $19.89