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Alaska rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.67 / $2.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.46 / $7.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.84 / $3.84 / $4.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $4.58 / $9.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $3.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.84 / $5.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.33 / $4.47