go back

Arizona rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $5.20 / $7.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $6.07 / $6.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $8.27 / $14.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $7.63 / $10.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $6.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $6.22 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.68 / $5.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.68 / $5.55