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Arkansas rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Facilitymedian $398,107 · 10th–90th $19–$933,2540%10%20%10th90th$398,107Professionalmedian $15 · 10th–90th $10–$200%20%10th90th$15$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $15.85 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.96 / $15.85