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Arizona rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.73 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $7.83 / $14.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.29 / $3.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.06 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.22 / $1.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.22 / $1.84