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Montana rates for HCPCS A4378

Ostomy Pouch Drainable For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $123.95 / $123.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $45.11 / $45.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.58 / $45.11 / $45.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.91 / $42.96 / $45.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.36 / $33.86 / $45.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.47 / $18.22 / $20.86