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Alaska rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $4.54 / $4.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.86 / $2.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $4.53 / $7.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.18 / $4.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.66 / $9.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $3.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.84 / $5.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $4.57