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Arizona rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $23.63 / $34.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $106.93 / $193.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.64 / $31.52 / $42.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $26.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $28.19 / $184.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $16.70 / $25.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $16.70 / $25.16