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Alaska rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.34 / $2.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $5.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.41 / $3.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.81 / $7.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $3.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.13 / $4.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.94 / $3.71