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Alaska rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $2.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $7.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $4.58 / $9.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $3.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.77 / $5.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.33 / $4.47