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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $6.03 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $8.32 / $8.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $28.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $8.51 / $8.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.51 / $10.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $9.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.46 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $17.78