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Idaho rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $3.52 / $3.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.80 / $3.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.46 / $2.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.59 / $5.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.05 / $1.86