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Idaho rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $10.93 / $10.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.69 / $10.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.65 / $8.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $8.05 / $15.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $8.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.25 / $6.26