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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
$3.39 / $8.11 / $8.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $4.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $4.23 / $8.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.69 / $5.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $5.99 / $11.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $6.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.42 / $4.29