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Montana rates for HCPCS A4408

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

Facilitymedian $13 · 10th–90th $9–$170%20%10th90th$13Professionalmedian $11 · 10th–90th $5–$180%10%10th90th$11$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
$5.01 / $10.00 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.45 / $14.45
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $26.30
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $26.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.96 / $16.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $14.45 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.37 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.89 / $7.94