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Ostomy Absorbent Material to Thicken Stomal Output

Montana rates for HCPCS A4422

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

Rates data updated October 2026.

How much does Ostomy Absorbent Material to Thicken Stomal Output cost?

$0.16

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $0.16 for this service. The price depends on where it is billed: about $0.16 from a physician practice, and about $0.16 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.16$0.15 to $0.17
FacilityA hospital or hospital-owned outpatient department$0.16$0.15 to $8.51

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $9Professionalmedian $0 · 10th to 90th $0 to $79
$0.1$1$10facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.05
Median
$0.14
Typical High
$0.22
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$0.15
Median
$0.15
Typical High
$0.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.15
Median
$0.16
Typical High
$0.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.14
Median
$0.16
Typical High
$0.16
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$0.13
Median
$0.19
Typical High
$8.71
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$0.15
Median
$0.17
Typical High
$9.12
Providence
Setting
Facility
Modifier
None
Typical Low
$0.09
Median
$0.16
Typical High
$0.16
Providence
Setting
Professional
Modifier
None
Typical Low
$0.16
Median
$0.16
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$0.07
Median
$0.07
Typical High
$0.11

Where Montana sits

The same service costs 2.0 times more in Idaho than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 2nd of 51

$0.16

ID $0.16OH $0.08

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.