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Montana rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $7 · 10th–90th $5–$90%20%40%10th90th$7Professionalmedian $5 · 10th–90th $3–$90%10%10th90th$5$1.0$2.0$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
$1.95 / $5.01 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $7.41 / $7.41
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $6.92 / $13.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.92 / $13.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $6.61 / $8.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.41 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.75 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.02 / $4.07