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Montana rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $8.40 / $8.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $3.05 / $3.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $3.05 / $3.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.90 / $3.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.29 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.32 / $1.55