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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 (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $34.32 / $34.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $12.50 / $12.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $12.50 / $12.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $11.90 / $12.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $9.38 / $12.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.05 / $5.78