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Idaho rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $5.62 / $9.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $4.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $5.50 / $8.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.75 / $6.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $6.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.17 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.29 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.45 / $3.09