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Montana rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $24.22 / $24.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $8.82 / $8.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $8.82 / $8.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $8.40 / $8.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $6.62 / $8.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.56 / $4.19