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Montana 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

Facilitymedian $12 · 10th–90th $7–$140%20%10th90th$12Professionalmedian $9 · 10th–90th $5–$160%10%10th90th$9$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.59 / $12.59
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $22.91
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $22.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $10.96 / $14.45
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.59 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.57 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.01 / $6.76