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Arizona rates for HCPCS A4383

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

Facilitymedian $52 · 10th–90th $13–$1910%5%10%10th90th$52Professionalmedian $24 · 10th–90th $13–$350%10%10th90th$24$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
$12.88 / $25.12 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $123.03 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $35.48 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $22.39
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $30.90 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.60 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $15.14 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.60 / $25.12