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Montana rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $35.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $11.95 / $11.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $12.85 / $12.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $12.85 / $12.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $12.24 / $12.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $9.65 / $12.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.19 / $6.11