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Arizona rates for HCPCS A4391

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

Facilitymedian $12 · 10th–90th $3$540%5%10%10th90th$12Professionalmedian $6 · 10th–90th $3$100%10%20%10th90th$6$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 / $6.03 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $27.54 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $7.76 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.17 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.80 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.17 / $6.31