go back

Montana rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

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