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Idaho rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $10.45 / $10.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $5.42 / $10.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $7.32 / $7.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $7.70 / $15.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $8.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.11 / $5.50