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Arizona rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $7.58 / $11.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $12.05 / $21.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $11.12 / $15.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $8.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $9.03 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.36 / $8.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $5.36 / $8.07