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Montana rates for HCPCS A4405

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $13.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $4.66 / $4.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $5.01 / $5.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $4.76 / $5.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.76 / $5.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.02 / $2.38