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Montana rates for HCPCS A4437

Irrigation supply; sleeve, disposable, per month

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $28.18 / $28.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $32.36
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $32.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $6.03 / $32.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $14.13