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Alaska rates for HCPCS A5072

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.95
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
$4.66 / $5.24 / $14.63
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.32 / $5.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $5.39 / $11.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $4.37 / $6.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.75 / $5.28