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Alaska rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $2.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $3.62 / $5.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.72 / $7.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $3.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.07 / $4.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.90 / $3.65