go back

Ostomy Irrigation Set

Montana rates for HCPCS A4400

Ostomy irrigation set

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $41$790%20%40%10th90th$56Professionalmedian $56 · 10th–90th $23$1100%20%10th90th$56$20.0$50.0$100.0$200.0

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
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$46.77
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$60.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$109.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$79.43
Providence
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$28.84
Typical High
$38.90