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Arizona rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $10.47 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.50 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $4.68 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.51 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.34 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.51 / $3.80