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Montana rates for HCPCS A4399

Ostomy Irrigation Supply; Cone/Catheter With Or Without Brush Cm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $42.02 / $42.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $15.30 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $15.30 / $15.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $14.57 / $15.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.16 / $15.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $7.27 / $8.55