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Arizona rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Facilitymedian $2 · 10th–90th $1–$50%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.0$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
$1.00 / $1.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $2.63 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.40 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.91 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.02 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.93 / $1.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.02 / $1.55