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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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.01
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
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.09 / $4.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.34 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.69 / $3.63