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Montana rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $33.24 / $33.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $12.11 / $12.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $12.11 / $12.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.61 / $11.53 / $12.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $9.27 / $12.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.88 / $6.60