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Alaska rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Facilitymedian $2 · 10th–90th $1–$50%20%40%10th90th$2Professionalmedian $3 · 10th–90th $1–$80%10%20%10th90th$3$1.0$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
$1.00 / $3.02 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $5.75
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $3.72 / $5.37
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.37 / $16.98
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $5.13 / $5.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.13 / $5.37
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $5.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.89 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.57 / $10.72