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Idaho rates for HCPCS A4400

Ostomy Irrigation Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $92.67 / $92.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $43.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $60.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.69 / $49.46 / $92.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.24 / $64.87 / $68.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.28 / $68.28 / $133.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.80 / $47.80 / $71.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.54 / $28.96 / $52.91