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Arizona rates for HCPCS A4377

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

Facilitymedian $8 · 10th–90th $2–$360%10%10th90th$8Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $18.62 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.50 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $4.68 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.34 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $3.80