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Alaska rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Facilitymedian $2 · 10th–90th $2–$70%50%90th$2Professionalmedian $4 · 10th–90th $1–$100%10%20%10th90th$4$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.98 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $7.59
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $6.61
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.61 / $21.38
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.31 / $6.31
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.31 / $6.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $6.92
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.79 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.24 / $13.18