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Arizona rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $2.54 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $3.70 / $6.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.40 / $4.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $3.03 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.88 / $2.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.88 / $2.84