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Montana rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $13.50 / $13.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $4.92 / $4.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.92 / $4.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $4.69 / $4.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.69 / $4.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.99 / $2.33