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Arizona rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $6.85 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.59 / $31.04 / $56.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $9.14 / $12.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $6.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $8.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $8.18 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.84 / $7.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $4.84 / $6.95