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Arkansas rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Facilitymedian $398,107 · 10th–90th $4–$933,2540%10%20%10th90th$398,107Professionalmedian $3 · 10th–90th $2–$50%20%40%10th90th$3$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.63 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.09 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.51 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.75 / $3.98