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Idaho rates for HCPCS A4391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $13.41 / $13.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $6.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $6.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $6.96 / $13.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $9.38 / $9.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $9.86 / $19.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $10.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $3.99 / $7.07