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Alaska rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $18.57 / $18.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $11.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.60 / $11.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $5.28 / $5.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.34 / $18.54 / $29.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $16.91 / $19.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $19.05 / $39.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $5.28 / $16.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.60 / $16.23 / $24.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $9.74 / $18.66