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Arizona rates for HCPCS A4380

Ostomy pouch, urinary, with faceplate attached, rubber, each

Facilitymedian $69 · 10th–90th $17–$2510%5%10th90th$69Professionalmedian $32 · 10th–90th $18–$470%10%10th90th$32$0.5$2.0$10.0$50.0$200.0

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
$18.20 / $33.11 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $162.18 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $47.86 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $40.74 / $245.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.88 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $20.42 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.88 / $33.11