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Alaska rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $30.90 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $26.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $41.69 / $41.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $131.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $42.66 / $42.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $42.66 / $53.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $45.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $31.62 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.88 / $89.13