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Arkansas rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $4.83 / $4.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $4.83 / $4.83
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
$7.61 / $7.61 / $7.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $5.99 / $5.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $5.99 / $5.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $4.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.70 / $3.60