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Arkansas rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.52 / $2.52
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
$2.71 / $3.59 / $3.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.14 / $3.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.89 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.57 / $3.18