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Idaho rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $5.18 / $5.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $2.65 / $5.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.62 / $3.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.81 / $6.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.67 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.54 / $2.73