go back

Idaho rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.04 / $76.76 / $76.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $36.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $39.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $39.84 / $76.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $53.73 / $56.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.76 / $56.56 / $87.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.59 / $39.59 / $59.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.79 / $22.82 / $40.47