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Arizona rates for HCPCS A4330

Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.01 / $6.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $6.01 / $8.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $17.75 / $43.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $8.82 / $20.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $10.01 / $17.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.24 / $49.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.24 / $6.38