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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
$2.10 / $4.62 / $6.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $7.34 / $13.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $6.78 / $9.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $5.50 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.26 / $4.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.26 / $4.91