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Alaska rates for HCPCS A4408

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.13 / $13.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.28 / $8.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.78 / $3.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.10 / $20.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.08 / $12.08 / $13.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $13.47 / $27.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.78 / $11.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $11.11 / $17.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $6.88 / $13.19