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Montana rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Facilitymedian $14 · 10th–90th $10–$200%20%40%10th90th$14Professionalmedian $12 · 10th–90th $7–$190%20%10th90th$12$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
$7.08 / $12.02 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $15.14 / $15.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $14.13 / $27.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.13 / $27.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $13.49 / $19.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.14 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.24 / $9.77