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Alaska rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.28 / $4.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $10.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.23 / $6.23 / $6.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.95 / $14.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $5.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.74 / $8.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $14.58