go back

Montana rates for HCPCS A4431

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

Facilitymedian $9 · 10th–90th $6–$100%20%10th90th$9Professionalmedian $7 · 10th–90th $3–$130%10%10th90th$7$2.0$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
$3.02 / $6.03 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $9.12 / $9.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $8.51 / $16.60
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.51 / $16.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $8.13 / $10.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.12 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.39 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.72 / $5.01