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Alaska rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.26 / $5.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.40 / $13.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.66 / $7.66 / $8.63
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $8.63 / $17.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $7.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $7.12 / $10.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.41 / $8.44