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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $39.79 / $39.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $14.48 / $14.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $14.48 / $14.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $13.79 / $14.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $10.87 / $14.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.85 / $6.88