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Alaska rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $6.54 / $6.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $4.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.53 / $10.31
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $6.71 / $13.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $5.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.54 / $8.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.43 / $6.58