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Arizona rates for HCPCS A4321

Therapeutic Agent For Urinary Catheter Irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.64 / $2.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $11.51 / $28.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $6.09 / $14.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.45 / $4.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $2.04