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Alaska rates for HCPCS A4420

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.04 / $60.26