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Arizona rates for HCPCS A4378

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.16 / $25.78 / $37.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $116.64 / $210.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $37.82 / $51.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $25.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $30.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $30.75 / $201.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $18.22 / $27.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $18.22 / $27.45