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Arkansas rates for HCPCS A4375

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.49 / $15.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $9.33 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.96 / $14.45