go back

Montana rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $6.03 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $7.41 / $9.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $8.51 / $16.60
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.51 / $16.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $8.13 / $10.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.12 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.39 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.72 / $4.37