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Alaska rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $3.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.84 / $9.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $5.34 / $6.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $6.01 / $12.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $5.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.96 / $7.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $5.89