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Arizona rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.51 / $2.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $2.17 / $3.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.00 / $2.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.79 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.07 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.07 / $1.60