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Alaska rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $1.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $2.83 / $8.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.91 / $6.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $2.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.48 / $3.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.49 / $2.85