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Idaho rates for HCPCS A4367

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $13.07 / $13.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $7.19 / $13.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $9.63 / $9.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $9.63 / $14.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $7.03 / $10.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.36 / $6.99