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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $1.94 / $20.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $6.95 / $6.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $6.95 / $6.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $7.48 / $7.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $7.48 / $7.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $7.12 / $7.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $5.61 / $7.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.02 / $3.45