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Arizona rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.29 / $4.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.89 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $2.88 / $7.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.62 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.48 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.62 / $2.45