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Alaska rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $5 · 10th–90th $3–$90%20%40%10th90th$5Professionalmedian $6 · 10th–90th $2–$140%10%10th90th$6$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $10.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $6.46 / $9.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.33 / $30.20
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $8.91
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.91 / $9.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $9.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.76 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.57 / $18.62