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Montana rates for HCPCS A4394

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

Facilitymedian $4 · 10th–90th $2–$40%20%40%10th90th$4Professionalmedian $3 · 10th–90th $1–$40%10%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.80 / $3.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.55 / $6.92
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.55 / $6.92
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $3.39 / $4.37
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.80 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.38 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.55 / $2.04