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Idaho rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $11.36 / $11.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.80 / $11.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $7.96 / $8.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.38 / $16.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $5.87 / $8.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.38 / $6.00