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Arizona rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $3.65 / $5.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $5.81 / $10.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.36 / $7.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $4.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $4.36 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.59 / $3.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.35 / $3.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.59 / $3.89