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Alaska rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $2.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.48 / $5.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.57 / $7.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $3.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.93 / $4.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.82 / $3.48