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Arkansas rates for HCPCS A4383

Ostomy pouch, urinary, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.73 / $31.73 / $31.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $31.73 / $31.73
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
$34.00 / $45.00 / $50.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.38 / $39.38 / $39.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $39.38 / $39.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.76 / $26.07 / $26.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $27.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $17.73 / $23.68