go back

Montana rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $5.44 / $6.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.38 / $6.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $5.87 / $6.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.62 / $6.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.48 / $2.92