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Montana rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $14.23 / $14.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $5.19 / $5.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $5.19 / $5.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $4.94 / $5.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.89 / $5.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.09 / $2.46