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Alaska rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $6.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.00 / $4.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $6.32 / $9.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $5.82 / $6.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $6.49 / $13.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $5.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.36 / $8.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.32 / $6.36