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Montana rates for HCPCS A4367

Ostomy belt, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $28.14 / $28.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $10.69 / $10.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $10.69 / $10.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $10.18 / $10.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $8.02 / $10.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.36 / $4.99