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Montana rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $17.59 / $17.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $6.39 / $6.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $6.39 / $6.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $6.09 / $6.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.80 / $6.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.59 / $3.04