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Alaska rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $4 · 10th–90th $2–$80%20%40%10th90th$4Professionalmedian $5 · 10th–90th $2–$120%10%10th90th$5$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 / $3.98 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $8.51
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $6.03 / $7.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.76 / $25.12
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $7.59 / $7.59
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.59 / $7.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $8.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.75 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.80 / $15.85