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Idaho rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.55 / $70.80 / $70.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.60 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $36.74 / $70.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.94 / $49.55 / $52.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $52.16 / $91.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.51 / $36.51 / $54.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.27 / $21.04 / $37.33