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Alaska rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $5 · 10th–90th $2–$90%20%40%10th90th$5Professionalmedian $6 · 10th–90th $2–$130%10%10th90th$6$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $9.55
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $6.92 / $8.91
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $28.18
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.51 / $8.51
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.51 / $8.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $9.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.46 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.37 / $17.78