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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
$2.57 / $5.03 / $7.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $8.01 / $14.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $7.38 / $10.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.55 / $5.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.55 / $5.36