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Montana rates for HCPCS A4421

Ostomy supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.39 / $23.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $22.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $79.43 / $85.11