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Arizona rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $2.17 / $3.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $3.44 / $6.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $3.18 / $4.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $2.58 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.54 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.54 / $2.29