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Arizona rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $2.34 / $3.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $3.73 / $6.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.43 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $2.78 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.65 / $2.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.65 / $2.48