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Montana rates for HCPCS A4378

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

Facilitymedian $42 · 10th–90th $26–$520%20%10th90th$42Professionalmedian $33 · 10th–90th $18–$580%10%10th90th$33$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.90 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $44.67 / $44.67
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $81.28
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $39.81 / $51.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $44.67 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $18.20 / $24.55