go back

Alaska rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.19 / $20.19 / $20.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $20.14 / $31.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.37 / $18.37 / $20.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.77 / $20.71 / $42.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $14.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $16.84 / $26.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.58 / $20.27