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Arizona rates for HCPCS A4328

Female external urinary collection device; pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $8.75 / $8.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $8.75 / $12.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $25.91 / $64.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $12.84 / $30.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.95 / $5.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $14.58 / $27.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $6.19 / $72.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.19 / $9.32