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Arizona rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.27 / $3.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.61 / $6.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.33 / $4.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $2.70 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.60 / $2.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.60 / $2.41