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Idaho rates for HCPCS A4376

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.67 / $90.23 / $90.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $42.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $46.84 / $90.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.83 / $63.16 / $66.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $66.48 / $103.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.54 / $46.54 / $69.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.84 / $28.19 / $46.13