go back

Arizona rates for HCPCS A4422

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.15 / $0.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.14 / $0.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.12 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.11