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Alaska rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $10.97 / $10.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $6.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $17.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $10.09 / $11.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $11.26 / $23.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $9.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $9.58 / $23.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $11.02