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Montana rates for HCPCS A4381

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

Facilitymedian $6 · 10th–90th $4–$80%20%40%10th90th$6Professionalmedian $5 · 10th–90th $2–$90%10%10th90th$5$1.0$2.0$5.0$10.0$20.0$50.0

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
$2.00 / $3.98 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $6.76 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $6.76 / $6.76
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $12.30
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $12.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $6.03 / $7.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.76 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.51 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.75 / $3.72