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Montana rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $163.19 / $163.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.23 / $55.23 / $55.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $59.39 / $59.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $59.39 / $59.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.53 / $56.56 / $59.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $44.57 / $59.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $23.99 / $28.22