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Arizona rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.01 / $16.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $5.13 / $10.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.51 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.61 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.55 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.24 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.55 / $5.37