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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
$6.82 / $6.82 / $6.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.28 / $4.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.81 / $10.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.23 / $6.23 / $7.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $7.00 / $14.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $5.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.78 / $8.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.58 / $6.85