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Arizona rates for HCPCS A4389

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

Facilitymedian $8 · 10th–90th $2$190%10%10th90th$8Professionalmedian $5 · 10th–90th $3$90%10%20%10th90th$5$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
$3.02 / $5.01 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $9.55 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.71 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $5.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $6.76 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.72 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.39 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.72 / $5.50