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Alaska rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $1.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $3.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.52 / $5.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.09 / $3.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.48