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Montana rates for HCPCS A4434

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $15.16 / $15.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $5.51 / $5.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.48 / $5.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $5.25 / $5.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $4.13 / $5.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.23 / $2.62