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Montana rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $6.03 / $7.41
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.92 / $13.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.92 / $13.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $6.61 / $8.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.41 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.75 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.02 / $3.55