go back

Montana rates for HCPCS A4424

Ostomy Pouch Drainable With Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $19.19 / $19.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $6.49 / $6.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $6.98 / $6.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $6.98 / $6.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $6.65 / $6.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $5.24 / $6.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.82 / $3.32