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Arizona rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.99 / $5.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $6.36 / $11.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.86 / $7.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $4.75 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.82 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.82 / $4.24