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Arizona rates for HCPCS A5072

Ostomy pouch, urinary; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.89 / $4.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $13.01 / $23.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $4.23 / $5.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $3.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.43 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.09 / $3.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.09 / $3.15