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Arizona rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $6 · 10th–90th $2–$250%10%10th90th$6Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0

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
$1.00 / $2.00 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $13.18 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.88 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $2.24 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $2.00 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.58 / $3.98