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Arkansas rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $4.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $4.91 / $4.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
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
$7.74 / $7.74 / $7.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.09 / $6.09 / $6.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $6.09 / $6.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $4.30
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.37 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.83 / $3.66