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Alaska rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $11.65 / $11.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.35 / $7.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $11.63 / $18.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $11.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $11.95 / $24.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $10.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $9.86 / $15.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $6.11 / $11.71