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Arizona rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.64 / $2.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $7.40 / $13.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.18 / $2.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.95 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.15 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.15 / $1.74