go back

Alaska rates for HCPCS A4410

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $7.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.46 / $3.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $18.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.06 / $11.06 / $12.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.33 / $25.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.46 / $10.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.18 / $15.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $6.30 / $12.08