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Arizona rates for HCPCS A4381

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $3.88 / $5.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $17.48 / $31.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $5.17 / $7.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $4.61 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.74 / $4.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.74 / $4.11