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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
$2.00 / $6.03 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $8.51 / $8.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $28.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $8.71 / $8.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.71 / $10.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $10.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.46 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $17.78