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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

Facilitymedian $7 · 10th–90th $2–$170%10%20%10th90th$7Professionalmedian $4 · 10th–90th $2–$80%20%10th90th$4$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $8.51 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.76 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $6.03 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.24 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $3.02 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.24 / $4.90