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Idaho rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $4.91 / $4.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $2.50 / $4.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.44 / $3.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $3.62 / $6.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.54 / $2.68