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Alaska rates for HCPCS A4430

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

Facilitymedian $5 · 10th–90th $3–$120%20%40%10th90th$5Professionalmedian $8 · 10th–90th $3–$180%10%10th90th$8$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
$3.02 / $7.08 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $13.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $8.51 / $12.02
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $38.90
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $11.75 / $11.75
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.75 / $12.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $12.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.89 / $24.55