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Montana rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Facilitymedian $5 · 10th–90th $3–$60%20%40%10th90th$5Professionalmedian $4 · 10th–90th $2–$60%10%20%10th90th$4$1.0$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
$2.00 / $3.02 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.90 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.90 / $4.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.57 / $8.91
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.57 / $8.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $4.37 / $5.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.90 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.82 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.00 / $2.69