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Alaska rates for HCPCS A4381

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $6.22 / $6.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $4.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.20 / $9.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $5.66 / $6.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.38 / $13.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $5.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $5.26 / $8.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $6.24