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Montana rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $11.21 / $11.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $4.09 / $4.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $3.90 / $4.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.07 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.65 / $1.94