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Arizona rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $1.28 / $1.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $2.04 / $3.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.89 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.53 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.00 / $1.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.00 / $1.50