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Arizona rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $4.68 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.76 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $6.03 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.24 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $3.02 / $4.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.24 / $4.90