go back

Alaska rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $35.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $14.28 / $14.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.55 / $50.02 / $78.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.68 / $45.68 / $51.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $51.42 / $106.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $14.28 / $35.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.28 / $41.83 / $65.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.27 / $26.27 / $50.35