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Alaska rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.64 / $1.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.61 / $6.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.69 / $5.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $2.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.29 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.37 / $2.63