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Idaho rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear 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
$6.74 / $16.14 / $16.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $8.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $8.38 / $16.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $11.31 / $11.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $11.90 / $23.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $8.33 / $12.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.05 / $14.90