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Montana rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $7.88 / $7.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.87 / $2.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.87 / $2.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.73 / $2.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.15 / $2.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.15 / $1.33