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Arizona rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $3.63 / $7.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.03 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $5.13 / $13.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.75 / $5.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.51 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.75 / $4.27