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Montana rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $38.76 / $38.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $14.09 / $14.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $14.09 / $14.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.54 / $13.42 / $14.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $10.58 / $14.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $5.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.69 / $6.52