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Alaska rates for HCPCS A4434

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $3.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $4.99 / $7.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $4.59 / $5.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $5.13 / $10.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $4.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.23 / $6.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.62 / $5.03