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Alaska rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $3.63 / $3.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.89 / $12.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.80 / $3.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.80 / $4.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $4.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.82 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $7.94