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Arizona rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.23 / $1.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $5.64 / $10.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.64 / $2.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.15 / $1.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $1.48 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.03 / $1.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.03 / $1.56