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Alaska rates for HCPCS A4415

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

Facilitymedian $3 · 10th–90th $2–$90%20%40%10th90th$3Professionalmedian $6 · 10th–90th $2–$130%10%10th90th$6$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 / $5.01 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $9.12
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $6.03 / $8.51
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.51 / $27.54
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.13 / $8.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.13 / $8.51
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $8.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.17 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.17 / $16.98