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Montana rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.77 / $150.49 / $150.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $48.42 / $54.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.45 / $39.20 / $54.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.38 / $52.16 / $54.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.45 / $41.11 / $54.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $22.12 / $26.02