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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
$8.26 / $8.26 / $8.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $5.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $13.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $7.60 / $8.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $8.47 / $17.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $7.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $7.00 / $10.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.33 / $8.30