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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
$7.51 / $25.26 / $25.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.55 / $8.55 / $8.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $9.19 / $9.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $9.19 / $9.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $8.76 / $9.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $6.89 / $9.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.71 / $6.19