go back

Arizona rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $31.30 / $45.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.20 / $141.61 / $256.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.31 / $41.74 / $56.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $34.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $36.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $37.33 / $245.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $22.12 / $33.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $22.12 / $33.32