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Arkansas rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.56 / $53.56 / $53.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.94 / $53.56 / $53.56
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
$57.39 / $75.95 / $84.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $66.48 / $66.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $66.48 / $66.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.42 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $49.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $29.95 / $39.97