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Arkansas rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.93 / $10.93 / $10.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $10.93 / $10.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $15.51 / $17.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $16.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.57 / $13.57 / $16.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $8.15 / $10.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $6.23 / $8.15