go back

Montana rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Facilitymedian $6 · 10th–90th $4–$80%20%40%10th90th$6Professionalmedian $5 · 10th–90th $2–$90%10%10th90th$5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.92 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.92 / $6.92
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $6.46 / $12.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.46 / $12.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $6.17 / $7.94
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.92 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.57 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.82 / $3.80