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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
$7.08 / $14.13 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $22.39 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.85 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.49 / $15.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $22.39 / $32.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $24.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $26.92
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.55 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $9.33 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.77 / $12.59