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Montana rates for HCPCS A4413

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

Facilitymedian $8 · 10th–90th $5–$90%20%10th90th$8Professionalmedian $6 · 10th–90th $3–$100%10%10th90th$6$2.0$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
$3.02 / $5.01 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $8.13 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.13 / $8.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $7.59 / $14.79
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.59 / $14.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $6.46 / $9.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.13 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.95 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.24 / $4.37