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Idaho rates for HCPCS A4392

Ostomy Pouch Urinary With Standard Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $15.50 / $15.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $8.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $8.06 / $15.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $10.85 / $11.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $11.42 / $19.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $7.99 / $11.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.61 / $8.18