go back

Alaska rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $12.94 / $12.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $8.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $3.68 / $3.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.92 / $20.39
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $11.76 / $13.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $13.28 / $27.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $3.68 / $11.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $10.95 / $16.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $5.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $6.78 / $13.00