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Arizona rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $3.13 / $4.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $4.97 / $8.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $4.58 / $6.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $3.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $3.72 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.21 / $3.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.21 / $3.32