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Montana 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
$6.91 / $23.25 / $23.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $8.44 / $8.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $8.44 / $8.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $8.05 / $8.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $6.35 / $8.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.42 / $3.91