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Montana rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $25.05 / $25.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $9.10 / $9.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $7.42 / $9.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $8.67 / $9.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $6.84 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.68 / $4.21