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Arizona rates for HCPCS A4367

Ostomy belt, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $6.17 / $9.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.20 / $7.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $9.80 / $17.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $9.05 / $12.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $7.35 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.36 / $6.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.36 / $6.56