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Idaho rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.32 / $53.46 / $53.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.37 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $27.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $27.75 / $53.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.44 / $37.40 / $39.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $39.38 / $68.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.57 / $27.57 / $41.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $16.70 / $26.34