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Alaska rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.01 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $7.76 / $7.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.94 / $26.92
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.94 / $7.94
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.94 / $10.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $8.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $6.03 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $3.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.07 / $16.60