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Idaho rates for HCPCS A4393

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $17.14 / $17.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $8.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $8.74 / $17.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.37 / $12.00 / $12.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $12.63 / $24.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $8.84 / $13.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $5.36 / $9.78