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Alaska rates for HCPCS A4372

Ostomy Skin Barrier Solid 4x4 Or Equivalent Standard Wear With Built-Inconvexity Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $5.61 / $5.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $3.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $5.61 / $8.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $5.76 / $11.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $3.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $4.69 / $7.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $2.94 / $5.64