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Alaska rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$50%20%40%10th90th$1$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 / $1.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $2.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.74 / $2.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $2.45 / $7.94
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.34 / $2.34
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.34 / $2.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $2.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.78 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.20 / $4.90