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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

Facilitymedian $8 · 10th–90th $5–$100%20%40%10th90th$8Professionalmedian $6 · 10th–90th $3–$100%10%10th90th$6$2.0$5.0$10.0$20.0$50.0

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
$3.02 / $5.01 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $8.51 / $8.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $9.77
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $9.77
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $7.41 / $9.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.51 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.09 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.39 / $5.01