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Alaska rates for HCPCS A4367

Ostomy belt, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $9.36 / $9.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.18 / $6.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $26.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.33 / $8.33 / $9.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $9.60 / $19.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $8.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.17 / $12.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.90 / $9.40