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Arizona rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $4.83 / $7.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $7.69 / $13.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.09 / $9.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.31 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.42 / $5.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.42 / $5.32