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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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $8.51 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.71 / $14.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.24 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31