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Montana rates for HCPCS A5081

Stoma plug or seal, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $13.36 / $13.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $3.84 / $3.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $3.66 / $4.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.60 / $4.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $3.94 / $4.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.11 / $4.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.96 / $2.25