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Arizona rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $15.39 / $22.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.20 / $62.14 / $112.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $22.58 / $30.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $18.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.02 / $18.37 / $116.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $10.88 / $16.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $10.88 / $16.39