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Montana rates for HCPCS A4371

Ostomy skin barrier, powder, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $14.50 / $14.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $5.27 / $5.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $5.27 / $5.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $5.01 / $5.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.96 / $5.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.16 / $2.54