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Idaho rates for HCPCS A4389

Ostomy Pouch Drainable With Barrier Attached With Built-In Convexity (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $11.78 / $11.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $6.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $6.12 / $11.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $8.24 / $8.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $8.67 / $16.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $6.07 / $9.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.50 / $6.22