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Montana rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $18.67 / $18.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $6.78 / $6.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $6.78 / $6.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $6.46 / $6.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.09 / $6.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.74 / $3.23