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Montana rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $18.84 / $18.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $6.86 / $6.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $6.86 / $6.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $6.53 / $6.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.15 / $6.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.77 / $3.26