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Alaska rates for HCPCS A4391

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

Facilitymedian $6 · 10th–90th $3$100%20%40%10th90th$6Professionalmedian $7 · 10th–90th $2$150%10%10th90th$7$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $6.03 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $11.75
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $9.55 / $10.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.55 / $33.11
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $9.77 / $9.77
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $10.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $10.47
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.41 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.01 / $20.42