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Arkansas rates for HCPCS A4367

Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $7.86 / $7.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $6.20
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
$12.38 / $12.38 / $12.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.41 / $9.41 / $10.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $10.28 / $10.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.18 / $7.06
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $7.13 / $7.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.54 / $6.22