go back

Montana 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
$3.11 / $10.44 / $10.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.80 / $3.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $3.62 / $3.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.85 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.54 / $1.81