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Montana rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $14.47 / $14.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $4.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $5.26 / $5.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $5.26 / $5.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $5.01 / $5.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.95 / $5.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.12 / $2.43