go back

Montana rates for HCPCS A4434

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

Facilitymedian $5 · 10th–90th $3–$150%20%10th90th$5Professionalmedian $4 · 10th–90th $2–$70%10%20%10th90th$4$1.0$10.0$100.0$1.0K$10.0K$100.0K

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 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.50 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.50 / $5.50
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.13 / $10.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.13 / $10.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.90 / $6.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.50 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.24 / $3.02