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Alaska rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $7.99 / $7.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.04 / $5.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $12.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $8.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $8.19 / $16.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $6.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $6.76 / $10.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $8.02