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Montana rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $19.85 / $19.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $7.21 / $7.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $7.21 / $7.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $6.87 / $7.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.42 / $7.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.92 / $4.86