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Montana rates for HCPCS A4418

Ostomy Pouch Closed; Without Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $7.32 / $7.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.66 / $2.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.16 / $2.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.52 / $2.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.00 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.07 / $1.23