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Alaska rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.01 / $3.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $7.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $4.88 / $10.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $4.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $4.04 / $6.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $4.80