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Arizona rates for HCPCS A5052

Ostomy Pouch Closed; Without Barrier Attached (1 Piece) Each (Updated 01-01-2003) 0)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.25 / $1.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $5.64 / $10.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.66 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $2.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.49 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.88 / $1.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.88 / $1.27