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Alaska rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $22.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $37.84 / $59.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $38.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.51 / $38.90 / $80.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $26.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.16 / $33.11 / $80.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $19.87 / $38.09