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Arizona rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $14.39 / $21.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.04 / $65.17 / $117.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $19.20 / $26.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $15.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $17.18 / $112.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.18 / $15.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $10.18 / $15.33