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Montana rates for HCPCS A4372

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

Facilitymedian $6 · 10th–90th $4–$70%20%40%10th90th$6Professionalmedian $4 · 10th–90th $2–$70%10%10th90th$4$1.0$2.0$5.0$10.0$20.0$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
$2.00 / $3.98 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $6.17 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.17 / $6.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.75 / $11.22
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.75 / $11.22
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $5.50 / $7.08
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.17 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.24 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.45 / $3.31