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Idaho rates for HCPCS A4412

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $2.66 / $5.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.59 / $3.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.78 / $7.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.60 / $2.68