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Idaho rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.59 / $32.57 / $32.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.46 / $15.93 / $16.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $16.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $16.91 / $32.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.59 / $22.79 / $23.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $23.99 / $41.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.79 / $16.79 / $25.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $9.68 / $17.18