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Idaho rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $8.77 / $8.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $4.55 / $8.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $6.14 / $6.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $6.46 / $12.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $6.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.60 / $4.30