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Alaska rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.70 / $4.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $3.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $4.69 / $7.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $4.82 / $9.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $4.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $3.97 / $6.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.46 / $4.72