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Montana rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Facilitymedian $13 · 10th–90th $8–$160%20%10th90th$13Professionalmedian $10 · 10th–90th $5–$180%10%10th90th$10$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
$5.01 / $8.91 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $14.13 / $14.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $13.18 / $25.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.18 / $25.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $12.59 / $16.22
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.13 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $7.76