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Arkansas rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.01 / $42.01 / $42.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.69 / $42.01 / $42.01
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
$45.03 / $59.60 / $66.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.16 / $52.16 / $52.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $52.16 / $52.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.14 / $34.45 / $34.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $34.45 / $38.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $23.50 / $31.36