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Arizona rates for HCPCS A4391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.92 / $8.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $23.90 / $43.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $8.69 / $11.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $5.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $6.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $7.07 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $4.19 / $6.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.19 / $6.01