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Arizona rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $39.89 / $58.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.96 / $180.48 / $326.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $58.53 / $79.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $47.58 / $312.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.45 / $28.19 / $42.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $28.19 / $40.44