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Arkansas rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.67 / $2.67
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
$4.20 / $4.20 / $4.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.99 / $2.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.49 / $1.99