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Montana rates for HCPCS A4368

Ostomy filter, any type, each

Facilitymedian $0 · 10th–90th $0–$00%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%10%20%10th90th$0$0.1$0.5$2.0$10.0$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
$1.51 / $1.51 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.37 / $0.37
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.34 / $0.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.34 / $0.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $0.32 / $0.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.37 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.14 / $0.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.21