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Montana rates for HCPCS A4382

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $99.24 / $99.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $36.11 / $36.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $36.11 / $36.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.73 / $34.40 / $36.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.31 / $27.11 / $36.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.59 / $17.16