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Idaho rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $5.22 / $5.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $2.66 / $5.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.66 / $3.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.85 / $7.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $4.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.55 / $2.68