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Arizona rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $8 · 10th–90th $3–$190%10%10th90th$8Professionalmedian $5 · 10th–90th $3–$90%20%10th90th$5$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
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $10.00 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.12 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $5.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $7.08 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.55 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $5.75