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Alaska rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.69 / $1.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.47 / $5.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $2.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.04 / $3.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.27 / $2.43