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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
$3.33 / $3.45 / $3.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $26.16 / $26.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.13 / $28.13 / $28.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $28.13 / $28.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $26.79 / $28.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $21.11 / $31.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $11.96 / $13.01