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Idaho rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $3.27 / $3.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $1.70 / $3.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.29 / $2.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.17 / $4.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.98 / $1.74