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Alaska rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.01 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $6.92 / $6.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $23.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.08 / $7.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.08 / $8.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $7.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.25 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $14.45