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Montana rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Facilitymedian $5 · 10th–90th $3–$60%20%10th90th$5Professionalmedian $4 · 10th–90th $2–$60%10%20%10th90th$4$1.0$2.0$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
$1.29 / $3.02 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $5.01 / $5.01
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.68 / $9.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.68 / $9.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $4.47 / $6.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.01 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.82 / $1.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.04 / $2.69