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Alaska rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.83 / $53.83 / $53.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $33.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $33.97 / $35.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $15.48 / $15.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.73 / $53.73 / $84.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.52 / $49.52 / $55.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.75 / $55.23 / $113.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $15.48 / $47.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $45.56 / $69.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.22 / $28.22 / $54.08