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Montana 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
$3.27 / $11.00 / $11.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $4.00 / $4.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.81 / $4.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.61 / $1.90