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Alaska rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $6.22 / $6.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $3.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.93 / $4.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $9.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $5.72 / $6.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.38 / $13.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $5.26 / $8.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.26 / $6.24