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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
$19.32 / $19.32 / $19.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $19.32 / $19.32
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
$20.71 / $27.41 / $30.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.87 / $15.93 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $16.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $10.81 / $14.43